心肌致密化不全52例超声检查分析

The value of echocardiograph in the diagnosis of noncompaction of ventricular myocardium

目的:探讨超声检查对心肌致密化不全的诊断价值。方法:对111例心脏病患者进行心脏常规超声检查。结果:本组111例心脏病患者中,52例发现左右心室心肌薄厚不均,而且有小梁小房样改变,可见血流进入小房。经与核磁共振(MRI)结果对照,28例病人被诊断为孤立性左室心肌致密化不全(LVNC);15例左室心肌致密化不全伴瓣膜病变;4例左室心肌致密化不全并发室壁瘤;3例左室心肌致密化不全伴右心室心肌致密化不全;2例右心室心肌致密化不全。结论:超声检查对心肌致密化不全能够进行初步诊断,并能提供更多有关心脏血流动力学改变信息,是早期诊断心肌致密化不全的首选检查方法。

Objective： To investigate the value of echocardiography in diagnosis of non compaction of ven- tricular myocardium （NVM） by comparing with MRI. Methods： Took the patients with conventional ultrasound examination of the heart. Results： After compared with the results of MRI： 28 patients were diagnosed with isola- tion Left Ventricular Noncompaction, （LVNC） ; 15 cases of LVNC with valve disease; 4 cases of LVNC with ven- trieular aneurysim; 3 eases of LVNC with right ventrieular noncompaction （RVNC） ; 2 cases of RVNC. Conclusion： Echocardiography provide the best method for the early diagnosis of NVM and more information about cardiac hemo- dynamic changes.