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经胸与经食管超声心动图诊断二尖瓣脱垂并腱索断裂准确性的比较 被引量：6

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摘要 目的:比较经胸与经食管超声心动图诊断二尖瓣脱垂并腱索断裂的准确性。方法:选择经胸与经食管超声心动图检查诊断为二尖瓣脱垂伴或不伴腱索断裂并行手术治疗的患者21例,以术中所见为标准,明确两者诊断二尖瓣脱垂并腱索断裂的准确性,同时比较它们在判断病因及病变部位等方面的作用。结果:术前检查21例二尖瓣脱垂的患者中,经胸超声心动图诊断有8例患者发生腱索断裂,经食管超声心动图诊断为15例患者发生腱索断裂,与手术结果比较,两者的诊断准确率分别为71%和95%,差异有统计学意义(P<0.05)。结论:经食管超声心动图较经胸超声心动图能更准确地诊断二尖瓣脱垂并腱索断裂,从而为术式的选择提供更可靠的依据。
作者 丛涛 王珂
机构地区 大连医科大学附属第一医院心内科
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2008年第3期227-229,共3页 Journal of Clinical Cardiology
关键词 二尖瓣脱垂 腱索断裂 经食管超声心动描记术
分类号 R542.5 [医药卫生—心血管疾病]
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参考文献8

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同被引文献40

  • 1张远慧.二尖瓣脱垂综合征的诊断与治疗[J].新医学,2007,38(7):428-430. 被引量：3
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  • 4Porter A, Shapira Y, Wurzel M, et al. Tricuspid regurgitation late after mitral valve replacement: clinical and echcardiographic evaluation. J Heart Valve Dis, 1999,8(1) : 57-62.
  • 5Jassal DS, Aminbakhsh A, Fang T, et al. Diagnostic value of harmonic transthoracic echocardiography in native valve infective endocarditis: Comparison with transesophageal echocardiography. Cardiovasc Ultrasound,2007,5:20.
  • 6Birmingham GD, Rahko PS. Ballantyne F 3rd. Improved detection of infective endocarditis with transesophageal echocardiography. Am Heart J, 1992,123(3):774-781.
  • 7卢中秋,倪显达,孙成超,等.经胸和经食管超声心动图诊断非风湿性二尖瓣脱垂伴部分腱索断裂的价值.中国超声医学杂志,2003,19(6):18-21.
  • 8Chu VH, Bayer AS. Use of echocardiography in the diagnosis and management of infective endocarditis. Curr Infect Dis Rep, 2007,9(4):283-290.
  • 9侯传举,邓东安,朱鲜阳,韩秀敏,杨军,李春华.二尖瓣腱索断裂彩色多普勒超声心动图特征及规律性研究[J].中国临床医学影像杂志,2007,18(11):768-770. 被引量：11
  • 10Feuchtner GM,Alkadhi H,Karlo C. Cardiac CT angiography for the diagnosis of mitral valve prolapse:comparison with echocardiography[J].{H}RADIOLOGY,2010,(2):374-383.

引证文献6

二级引证文献19

临床心血管病杂志
2008年 第3期

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