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动态三维与二维超声心动图联合运用在诊断主动脉瓣下狭窄中的应用

Application of Dynamic Three-dimensional and Two-dimensional Echocardiography in the Diagnosis of Subaortic Stenosis
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摘要 目的探讨动态三维与二维超声心动图联合运用在诊断主动脉瓣下狭窄的应用方法和临床效果,以便于为今后的治疗提供有价值的参考依据。方法方便选取2015年1月—2017年1月该院收治的主动脉瓣下病变患者80例的临床资料,对其进行分析总结,观察动态三维与二维超声心动图用于诊断主动脉瓣下狭窄患者的检查方法与结果。结果动态三维超声心动图检查对主动脉瓣下病变显示率及形状类型分辨高达100%的诊断正确率,而动态二维超声心动图检查的显示率仅76.25%,动态三维超声心动图检查的结果明显优于动态二维超声心动图检查,差异有统计学意义(P<0.05)。结论经胸动态三维与二维超声心动图联合运用对于主动脉瓣下狭窄的诊断率较高,尤其是膜性狭窄,并对其狭窄的形态及结构、性质进行清晰立体的显示,为临床进行疾病的诊治提供价值较高的依据。 Objective To explore the application method and clinical effect of dynamic three-dimensional and two-dimen-sional echocardiography in the diagnosis of subaortic stenosis, so as to provide a valuable reference for future treatment. Methods To review the clinical data of 80 patients with aortic subvalvular disease convenient admitted to our hospital from January 2015 to January 2017, analyze and summarize the dynamic three-dimensional and two-dimensional echocardiogra-phy for diagnosis of aortic valve and observe the methods and results of examination of patients with stenosis. Results Dy-namic three-dimensional echocardiography resolved the diagnostic accuracy of up to 100% of the rate and shape of lesions under the aortic valve, while the dynamic two-dimensional echocardiography showed a display rate of only 76.25%. Dynam-ic three-dimensional echocardiography results were significantly better than dynamic two-dimensional echocardiography, and the difference was statistically significant (P<0.05). Conclusion The combined use of transthoracic dynamic three-di-mensional and two-dimensional echocardiography has a high diagnostic rate for aortic stenosis, especially membranous stenosis, and clear and stereoscopic display of its stenosis morphology, structure and properties. The diagnosis and treatment of diseases provides a high value basis.
作者 陶士瑛 TAO Shi-ying(Department of Ultrasound, Pu'er People's Hospital, Pu'er, Yunnan Province, 665000 China)
出处 《中外医疗》 2019年第8期182-184,共3页 China & Foreign Medical Treatment
关键词 动态三维超声心动图 二维超声心动图 联合运用 主动脉瓣下狭窄 应用方法 临床效果 Dynamic three-dimensional echocardiography Two-dimensional echocardiography Combined use Subaortic stenosis Application method Clinical effect
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