| 成人孤立性心肌致密化不全的超声诊断 |
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| 引用本文： | 王剑澜,郑哲岚,牟芸,姚磊,童紫莺,胡志强,陈剑,徐启彬. 成人孤立性心肌致密化不全的超声诊断[J]. 浙江大学学报(医学版), 2005, 34(2): 188-190 |
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| 作者姓名： | 王剑澜 郑哲岚 牟芸 姚磊 童紫莺 胡志强 陈剑 徐启彬 |
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| 作者单位： | 浙江大学医学院附属第一医院,浙江,杭州,310003 |
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| 摘 要： | 目的:通过超声心动图诊断6例成人孤立性心肌致密化不全(INVM),探讨早期诊断该病的重要性.方法:超声心动图多切面扫查,采用HP5500彩色超声仪,探头频率2～4MHz,重点观察近心尖1/3的心室心肌及心内膜.结果:6例患者UCG特点,均为受累的心室腔内可探及大量突出的肌小梁和深陷的小梁间隐窝.病变心肌包括两层结构:其一为心外膜侧的薄而致密的心外膜层,其二为心内膜侧厚而致密化不全的心内膜层.病变部位明显增厚并呈节段性运动减弱.结论:UCG无创且特异性强,目前仍是诊断该病的首选方法.INVM应被单独归为一类特殊的心肌病.
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| 关 键 词： | 心肌疾病/超声检查 心肌致密化不全 超声心动图 诊断 |
| 文章编号： | 1008-9292(2005)02-0188-03 |
| 修稿时间： | 2003-11-12 |
Ultrasonic diagnosis of isolated noncompaction of the ventricular myocardium in adults |
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| WANG Jian-lan,ZHENG Zhe-lan,MOU Yun,et al. Ultrasonic diagnosis of isolated noncompaction of the ventricular myocardium in adults[J]. Journal of Zhejiang University. Medical sciences, 2005, 34(2): 188-190 |
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| Authors: | WANG Jian-lan ZHENG Zhe-lan MOU Yun et al |
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| Affiliation: | The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China. doctorwjl@sina.com |
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| Abstract: | Objective: To apply echocardiography in diagnosis of isolated noncompaction of ventricular myocar~dium (INVM) in adults.Methods: Six patients with INVM underwent echocardiographic examination using HP5500 ultrasound system with the frequency of 2~4 MHz,and the observation was focused on ventricular~myo- cardium and endocardium at one-third of the apex.Results: All 6 patients showed typical echocardiographic ~images characterized by an altered structure of the ventricular myocardium with extremely thickened,hypokinetic segments consisting of two layers:a thin,compacted epicardium and an extremely thickened endocardium,resulting in an extremely thickened ventricular wall.Conclusion: Echocardiography should be the first choice to be applied in diagnosis of INVM,which is a distinct entity of specific cardiomyopathy in adults. [ |
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| Keywords: | Myocardial diseases/ultrasonogr Noncompaction of the ventricular myocardium Echogardiography Diagnosis |
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