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目的:探讨超声心动图诊断老年性退行性心脏瓣膜病的价值。方法:回顾性分析1 289例老年性退行性心脏瓣膜病患者的彩色多普勒超声声像图资料。结果:(1)检出老年性退行性心脏瓣膜病317例(28.8%),检出率随年龄增长增高(χ2=101.46,P<0.01);(2)受累瓣膜中,主动脉单独受累191例(51.5%),二尖瓣单独受累96例(25.9%),主动脉瓣、二尖瓣同时受累84例(22.6%);(3)113例有瓣膜功能障碍,其中主动脉瓣反流75例(66.4%),主动脉瓣狭窄11例(9.7%),主动脉瓣反流+主动脉瓣狭窄3例(2.7%);二尖瓣反流21例(18.6%),二尖瓣狭窄3例(3.1%)。结论:超声心动图是诊断老年性退行性心脏瓣膜病主要手段。
Objective: To investigate the value of echocardiography in the diagnosis of senile degenerative heart valve disease. Methods: A retrospective analysis of 1 289 cases of senile degenerative valvular heart disease color Doppler ultrasound sonographic data. Results: (1) 317 cases (28.8%) of senile degenerative valvular heart disease were detected, the detection rate increased with age (χ2 = 101.46, P <0.01); (2) (51.5%), 96 cases (25.9%) of mitral involvement alone, 84 cases (22.6%) of aortic valve and mitral valve simultaneously. (3) 113 cases had valvular dysfunction in which aortic regurgitation 75 cases (66.4%), aortic stenosis in 11 cases (9.7%), aortic regurgitation + aortic stenosis in 3 cases (2.7%), mitral regurgitation in 21 cases (18.6%), mitral valve Stenosis in 3 cases (3.1%). Conclusion: Echocardiography is the main method to diagnose senile degenerative heart valve disease.