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目的：探讨诊断室壁瘤（ＶＡ）最佳方法及早期诊断ＶＡ。材料与方法：对１９９６０１～１９９８０９住院的３７例心肌梗塞（其中急性心梗２８例，陈旧性心梗９例）怀疑ＶＡ患者进行观察，男２９例，女８例，年龄３３～８０岁，平均６０．９±９．２岁，全部病例均做心电图、超声心动图、放射性核素心室显像，其中１０例做左室造影。结果：放射性核素心室显像、超声心动图、心电图对ＶＡ的检出率分别为８３．７％，６４．９％和７８．４％，放射性核素心室显像与左室造影结果一致。放射性核素心室显像发现５例位于下壁的ＶＡ，但超声心动图仅发现１例，心电图无阳性发现。结论：无创性检查对ＶＡ的检出，放射性核素心室显像较超声心动图、心电图更敏感，特别是位于下壁的ＶＡ。
Objective: To explore the best method to diagnose aneurysm (VA) and to diagnose VA early. Materials and Methods: 37 patients with myocardial infarction (including 28 cases of acute myocardial infarction and 9 cases of old myocardial infarction) admitted to hospital from 1996 to January 1998 were enrolled in the study. VA patients were observed in 29 males and 8 females, aged 33 ~ 80 years old, with an average of 60.9 ± 9.2 years old. All patients underwent electrocardiogram, echocardiography and radionuclide ventricular imaging. Ten cases had left ventricular angiography. Results: The detection rates of radionuclide ventricular imaging, echocardiography and electrocardiogram were 83.7%, 64.9% and 78.4% respectively. The results of radionuclide ventriculography and left ventricular angiography were the same. Five cases of VA in the inferior wall were found by radionuclide ventriculography, but only one case was found by echocardiography and no positive electrocardiogram was found. CONCLUSION: Noninvasive examination is more sensitive to the detection of VA, radionuclide ventriculography than echocardiography and electrocardiogram, especially VA located in the inferior wall.