梅毒性心血管疾病彩色多普勒超声影像研究

COLOR DOPPLER ULTRASONOGRAPHY IN DIAGNOSIS OF SYPHILITIC CARDIOVASCULAR DISEASE AND ITS SONOGRAPHIC IMAGE INCLINIC

目的 总结梅毒性心血管疾病超声声像新的表现及其临床意义 ,以提高此病的诊断率。方法 使用ATL超 9型、东芝60 0 0型、东芝 70 0 0型等彩色多普勒超声诊断仪在临床Ⅱ期梅毒者中检测发现的心血管损害者进行随访观察。结果 梅毒并发有心脏损害共 36例 ,平均年龄为 42岁 ,女性多于男性 ,其心脏病变超声显像与既往文献有共同和不同之处 ,主动脉损害多见 ,但主动脉瘤较少见 ,心肌损害较以往增多。结论 彩色多普勒超声影像技术对梅毒性心血管损害的诊断有特异性、准确性高 ,对指导临床治疗也有意义。

Objective To summarize the ultrasonographic indications and their clinical significance for syphilitic cardiovascular patients so as to improve the diagnosis of the disease. Methods Color Doppler ultrasonography produced by ATL super-9, Toshiba-6000 and Toshiba-7000 was used to test the syphilitic patients in clinical stage II and the cardioangio-damaged patients were followed up. Results 36 syphilitic patients with cardioangio-damaged complication, with average age of 42, were found, involving more females than males. Most of them suffered from cardioarterial damage. Cardioantic tumor was less observed but more cardiomyo-damages were discovered. Conclusion Color Doppler ultrasonography is specific for the diagnosis of syphilitic cardiovascular disease, and its higher diagnostic rate shows its significance in clinical therapy.