摘要
目的分析超声心动图检查老年退行性心脏瓣膜病(SDHVD)的结果及其临床应用意义。方法采用超声心动图对该院2017年5月—2018年9月收治的156例老年患者进行检查,根据有无SDHVD分为SDHVD组(76例)和对照组(80例),对比两组心脏超声检查结果,并进一步分析SDHVD患者的超声心动图资料。结果两组左室扩大、左房扩大、E/A<1的占比差异有统计学意义(P<0.05)。76例SDHVD患者中,主动脉瓣受累55例(72.4%),二尖瓣受累8例(10.5%),二尖瓣合并主动脉瓣受累13例(17.1%);其中36例患有瓣膜功能障碍,包括二尖瓣返流4例,主动脉瓣返流22例,二尖瓣狭窄2例,主动脉瓣狭窄6例,主动脉瓣返流及狭窄2例。结论超声心动图检查用于SDHVD的诊断具有重要的临床意义。
Objective To analyze the results of echocardiography in elderly patients with degenerative heart valve disease(SDHVD) and its clinical significance. Methods 156 elderly patients admitted to our hospital from May 2017 to September 2018 were examined by echocardiography. SDHVD group(76 cases) and control group(80 cases) were compared according to the presence or absence of SDHVD. Ultrasound findings and further analysis of echocardiographic data from SDHVD patients. Results There was a significant difference in the proportion of left ventricular enlargement,left atrial enlargement, and E/A<1 between the two groups(P<0.05). Of the 76 SDHVD patients, 55(72.4%) had aortic valve involvement, 8(10.5%) had mitral valve involvement, and 13(17.1%) had mitral valve involvement with aortic valve;36 of them had valve function. The obstacles included 4 cases of mitral regurgitation, 22 cases of aortic regurgitation, 2 cases of mitral stenosis, 6 cases of aortic stenosis, 2 cases of aortic regurgitation and stenosis. Conclusion Echocardiography is of great clinical significance for the diagnosis of SDHVD.
作者
陈瑜
申斌
刘晓丽
蒋演
周颖
胡茜
CHEN Yu;SHEN Bin;LIU Xiao-li;JIANG Yan;ZHOU Ying;HU Qian(Department of Ultrasound, Chongqing Kanghua Zhonglian Cardiovascular Hospital, Chongqing, 400000 China)
出处
《系统医学》
2019年第3期105-106,110,共3页
Systems Medicine
关键词
心脏瓣膜病
老年人
超声心动图
Valvular heart disease
Elderly
Echocardiography
