河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
2期
269-271
,共3页
超声心动图%老%年%钙化性心脏瓣膜病
超聲心動圖%老%年%鈣化性心髒瓣膜病
초성심동도%로%년%개화성심장판막병
Echocardiography%Elderly%CVHD
目的：：探讨超声心动图对老年钙化性心脏瓣膜病( CVHD)的诊断价值。方法：回顾性分析86例老年CVHD患者的超声心动图资料，分析其声像学特点及对该病的诊断价值。结果：单纯主动脉瓣受累者61例(70.9%)，单纯二尖瓣受累患者11例(12.8%)，两者同时受累患者14例(16.3%)。声像学表现主要以瓣膜本身、瓣环或瓣膜边缘的回声增高，严重者瓣膜基底部小结节状或团状强回声，瓣膜表面粗糙，活动受限、僵硬，闭合欠佳，合并狭窄或反流。主动脉瓣关闭不全而出现反流者51例，二尖瓣反流16例，主动脉瓣狭窄22例，二尖瓣狭窄4例，均以轻中度为主。左心房扩大68例(79.1%)，左心室扩大28例(32.6%)，全心扩大6例(7.9%)，左心室心肌肥厚9例(10.5%)。左心室舒张功能减退81例(94.2%)，左心室收缩功能减退患者19例(22.1%)，平均LVEF为(56.8±11.4)%。结论：超声心动图是心脏形态及功能的重要检查手段，费用低廉，操作方便，且对于CVHD的早期诊断具有重要意义。
目的：：探討超聲心動圖對老年鈣化性心髒瓣膜病( CVHD)的診斷價值。方法：迴顧性分析86例老年CVHD患者的超聲心動圖資料，分析其聲像學特點及對該病的診斷價值。結果：單純主動脈瓣受纍者61例(70.9%)，單純二尖瓣受纍患者11例(12.8%)，兩者同時受纍患者14例(16.3%)。聲像學錶現主要以瓣膜本身、瓣環或瓣膜邊緣的迴聲增高，嚴重者瓣膜基底部小結節狀或糰狀彊迴聲，瓣膜錶麵粗糙，活動受限、僵硬，閉閤欠佳，閤併狹窄或反流。主動脈瓣關閉不全而齣現反流者51例，二尖瓣反流16例，主動脈瓣狹窄22例，二尖瓣狹窄4例，均以輕中度為主。左心房擴大68例(79.1%)，左心室擴大28例(32.6%)，全心擴大6例(7.9%)，左心室心肌肥厚9例(10.5%)。左心室舒張功能減退81例(94.2%)，左心室收縮功能減退患者19例(22.1%)，平均LVEF為(56.8±11.4)%。結論：超聲心動圖是心髒形態及功能的重要檢查手段，費用低廉，操作方便，且對于CVHD的早期診斷具有重要意義。
목적：：탐토초성심동도대노년개화성심장판막병( CVHD)적진단개치。방법：회고성분석86례노년CVHD환자적초성심동도자료，분석기성상학특점급대해병적진단개치。결과：단순주동맥판수루자61례(70.9%)，단순이첨판수루환자11례(12.8%)，량자동시수루환자14례(16.3%)。성상학표현주요이판막본신、판배혹판막변연적회성증고，엄중자판막기저부소결절상혹단상강회성，판막표면조조，활동수한、강경，폐합흠가，합병협착혹반류。주동맥판관폐불전이출현반류자51례，이첨판반류16례，주동맥판협착22례，이첨판협착4례，균이경중도위주。좌심방확대68례(79.1%)，좌심실확대28례(32.6%)，전심확대6례(7.9%)，좌심실심기비후9례(10.5%)。좌심실서장공능감퇴81례(94.2%)，좌심실수축공능감퇴환자19례(22.1%)，평균LVEF위(56.8±11.4)%。결론：초성심동도시심장형태급공능적중요검사수단，비용저렴，조작방편，차대우CVHD적조기진단구유중요의의。
Objective:To discuss the clinical value of echocardiography in diagnosis of senile CVHD. Method:The echocardiography data of 86 elderly patients with CVHD were retrospectively analyzed to dis-cuss the ultrasonographic features and the clinical value of echocardiography in diagnosis of senile CVHD. Result:There were 61 cases (70.9%) with aortic involvement, 11 cases (12.8%) with mitral involvement,and 14 cases (16.3%) both involved. The main ultrasonographic manifestations were higher echo in valve, or valvular annulus and valve edge;in severe patients, there were small nodules or lumps hyperechoic, val-vular surface roughness, limited mobility, stiffness, poor closure, merger or stenosis reflux in valvular bottom base. Aortic insufficiency and reflux occurs in 51 cases, mitral regurgitation in 16 cases, 22 cases with aortic stenosis, 4 cases with mitral stenosis, and all mild to moderate based. Left atrial enlargement in 68 cases (79.1%), left ventricular dilatation in 28 cases (32.6%), committed to expand 6 cases (7.9%), left ven-tricular hypertrophy in nine cases (10.5%). Left ventricular diastolic dysfunction in 81 cases (94.2%), left ventricular systolic dysfunction in 19 patients ( 22. 1%) , mean LVEF was ( 56. 8 ± 11. 4 )%. Conclusion:Echocardiography is an important cardiac morphology and function check means inexpensive, It's easy to op-erate, and has important significance in early diagnosis of CVHD.
