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成人左室心肌致密化不全的超声心动图诊断(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2008年第6期
页码:
737-739
栏目:
临床研究
出版日期:
2008-12-25

文章信息/Info

Title:
Diagnosis of noncompaction of ventricular myocardium in adult by echocardiography
作者:
李红玲; 张军; 张海滨; 周晓东; 朱永胜; 刘丽文; 段云燕
第四军医大学西京医院超声诊断科, 陕西 西安 710032
Author(s):
LI Hongling;  ZHANG Jun;  ZHANG Haibin;  ZHOU Xiaodong;  ZHU Yongsheng;  LIU Liwen;  DUAN Yunyan
Department of Ultrasound, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, Shaanxi, China
关键词:
超声心动描记术; 心肌致密化不全; 成年人
Keywords:
echocardiography;  noncompaction of ventricular myocardium;  adult
分类号:
R540.45
DOI:
-
文献标识码:
A
摘要:
目的 探讨成人左室心肌致密化不全的超声心动图特点。方法 对45例成人左室心肌致密化不全患者进行超声心动图检查，多切面重点观察左室心肌与心内膜。结果 超声心动图检查表明，左室腔内可见异常粗大呈蜂窝状的肌小梁和交错深陷的隐窝，其中34例有心力衰竭症状，3例进行心脏移植，11例患者受累心肌局限在左室心尖部，无任何症状。彩色多普勒可探及隐窝内有血流与心腔相通。结论 超声心动图可快速、无创地诊断心肌致密化不全。
Abstract:
AIM To explore the echocardiography characteristics of noncompaction of ventricular myocardium (NVM) in adults. METHODS Fortyfive patients with NVM were examined by echocardiography and ndocardium and myocardium of left ventricle (LV) below basal level were investigated primarily. RESULTS In all the cases, visible myocardial trabeculae and deep intertrabecular recesses were found in LV. Communications could be found between trabeculae and LV chamber by color Doppler flow imaging. Among the thirtyfour cases with congestive heart failure (CHF), three patients received orthotopic cardiac transplantation because of severe CHF. Among the eleven cases without CHF, lesion of myocardium localized at apical lateral wall of LV and the size of LV and global systolic function were normal. CONCLUSION NVM can be noninvasively and conveniently diagnosed by echocardiography.

参考文献/References

［1］ Jenni R, Oechslin E, Schneider J, et al. Echocardiographic and pathoanatomical characteristics of isolated left ventricular noncompaction：a step towards classification as a distinct cardiomyopathy［J］. Heart， 2001, 86（6）:666-671.

［2］ Khan IA, Biddle WP, Najeed SA, et al. Isolated noncompaction Cardiomyopathy presenting with paroxysmal supravenrtricular tachycardiacase report and literature review［J］. Angiology, 2003, 54(2):243-250.

［3］ Burke A, Mont E, Kutys R, et al. Left ventricular noncompaction a pathological Study of 14 cases［J］. Hum Pathol, 2005, 36(4):403-411.

［4］ 曹丹,黎春雷,邓又斌，等. 心肌致密化不全患者心肌曲线 M 型应变率成像特征［J］. 中国临床医学影像杂志， 2006, 17(3):133-135.

备注/Memo

备注/Memo:
收稿日期：2007-11-06.作者简介：李红玲，主治医师Email:liulixin@ fmmu.edu.cn
更新日期/Last Update: 2009-03-24