CAJ | 학술논문

目的：分析心肌致密化不全的超声及临床表现，以引导临床早期诊断和治疗。方法：观察36例致密化不全心脏的超声心动图表现，结合心电图、心脏磁共振、冠脉造影等检查，综合分析心肌致密化不全的临床表现。结果：所有病例心腔均可见多发粗大肌小梁及其间深陷的隐窝，彩色多普勒可见隐窝内血流与心腔血流相通；呈左心室型者33例（91.6％），右心室型者3例（8.4％）。所有病例存在不同类型异常心电图，其中房颤所占比例最大（50％，18／36）。部分磁共振结果与超声结果吻合。大部分冠脉造影无血管狭窄。结论：超声心动图为最方便、有效的检查方式，可为致密化不全心脏的诊疗提供重要依据。
목적：분석심기치밀화불전적초성급림상표현，이인도림상조기진단화치료。방법：관찰36례치밀화불전심장적초성심동도표현，결합심전도、심장자공진、관맥조영등검사，종합분석심기치밀화불전적림상표현。결과：소유병례심강균가견다발조대기소량급기간심함적은와，채색다보륵가견은와내혈류여심강혈류상통；정좌심실형자33례（91.6％），우심실형자3례（8.4％）。소유병례존재불동류형이상심전도，기중방전소점비례최대（50％，18／36）。부분자공진결과여초성결과문합。대부분관맥조영무혈관협착。결론：초성심동도위최방편、유효적검사방식，가위치밀화불전심장적진료제공중요의거。
Objective:To analyze ultrasonic and clinical manifestation of noncompaction of the ventricular myocardi‐um (NVM) in order to guide clinical early diagnosis and treatment .Methods :Echocardiographic manifestations of 36 NVM patients were observed .Combined with electrocardiogram (ECG) ,cardiac MRI and coronary angiography (CAG) etc .,clinical manifestations of NVM were comprehensively analyzed .Results:Multiple coarse trabecular muscles and deep crypts among them were founded in heart chamber in all cases .Color Doppler showed that blood flow inside the crypts communicated with blood flow in heart chamber ,there were 33 cases (91.6% ) of left ventri‐cle type and three cases (8.4% ) of right ventricle type .Different types of abnormal ECG existed in all cases and at‐rial fibrillation occupied the largest proportion (50% ,18/36) .Some MRI results were accorded with those of ultra‐sound .In most cases ,CAG didn′t show coronary stenosis .Conclusion : Echocardiography is most convenient and effective examination ,which can provide important basis for diagnosis and treatment of noncompaction of ventricular myocardium .