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心肌致密化不全的超声诊断及鉴别诊断(1)
http://www.100md.com 2011年2月15日 《中国实用医药》 2011年第5期
     【摘要】 目的 研究心肌致密化不全(NVM)超声诊断的价值及鉴别诊断。方法 采用GELogiq 500彩色多普勒超声诊断仪,通过常规超声心动图对12例NVM患者进行多切面扫查,重点观察近心尖1/3的左心室心肌和心内膜。结果 12例患者超声心动图均可见受累心腔内异常粗大的肌小梁和其间深陷的隐窝,彩色多普勒显示隐窝内有血流与心腔想通。12例患者中11例为左室受累,1例累及双室。11例心功能明显降低。结论 心肌致密化不全(NVM)具有特征性超声心动图改变,超声是诊断NVM的最佳工具。

    【关键词】 心肌致密化不全; 超声心动图;鉴别诊断

    Diagnosis and differential diagnosis of noncompactionof ventricular myocardium by echocardiography

    GUO Jing.Department of Ultrasound People’ s Hospital of Taikang country,Henan 461400,China

    

    【Abstract】 Objective To reseach echocardiography diagnosis anddifferential diagnosis of noncompaction of ventricular myocardium.Methods GELogiq 500 Color ultrasound system was used for 12 patiens exam.Observation of primary mass data near heart point 1/3 left room cardiac muscle and endocardium.Results In all the 12 patients,numerous prominent ventrexular trabeculations and deep intertrabecular recessus were presentes in echocardiogram.Colored Doppler demonstrated that in the recessus had the blood stream and the heart was interlinked.11 involved left heart,1 involved right heart.11 example heart function reduces obviously.Conclusion Noncompaction of ventricular myocardium has the characteristic change of echocardiogram.Echocardiographydiagnosesthenoncompaction ofventricularmyocardium best tool. ......
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