摘要
目的:分析彩色多普勒超声心动图在无痛性急性主动脉夹层诊断中的价值,探讨如何提高无痛性急性主动脉夹层患者的诊断率。方法:收集急性无痛性主动脉夹层患者共56例,回顾性分析在诊治过程中超声心动图的作用。结果:56例患者经超声心动图确诊35例,其中21例由超声心动图首先发现;超声心动图对Ⅰ型主动脉夹层的确诊率达到93.33%,对Ⅱ型夹层的确诊率达到87.5%,对Ⅲ型夹层的确诊率为53.85%,总的检出率达到71.43%。升主动脉近端宽度诊断急性无痛性主动脉夹层的ROC曲线下面积为0.745,敏感性为61.5%,特异性为87.5%。结论:彩色多普勒超声在无痛性主动脉夹层的发现、诊断及判断预后中起了重要的作用。
Objective：To explore the value of echocardiography for painless acute aortic dissection. Method： A total of 56 patients with painless acute aortic dissection （AAD） admitted to hospital were selected, and analyzed the role of echocardiography for diagnosis painless AAD. Result：Thirty-five patients were diagnosed with echocar- diography. The diagnosis rate of type I painless AAD by echocardiography reached 93.33%, type 11 87.5%, type Ill 53. 85%. Overall detection rate reached 71.43%. The sensitivity to diagnose painless AAD was 61.5%, and the specificity was 87.5%. Conclusion：Routine echocardiography is very helpful to diagnosis painless AAD. Echocardiography plays an important role in the diagnosis of painless AAD.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2014年第4期335-337,共3页
Journal of Clinical Cardiology
