The Value of Echocardiography for the Diagnosis of Noncompaction of Ventricular Myocardium_West China Medical Journal

Authors：

LUO Kaiqin , GUO Mingzhen , SUN Qing.

Department of Ultrasound, the First People’s Hospital of Guangyuan City, Guangyuan, Sichuan 628017, P. R. China;

Corresponding author：

Keywords：

超声心动图; 心肌疾病; 致密化不全

DOI：

10.7507/1002-0179.20130535

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目的　探讨超声心动图对心肌致密化不全（NVM）的诊断价值。方法　分析2002年1月－2012年10月31例NVM患者的超声心动图表现，重点于左室长轴、心室短轴、心尖四腔及心尖两腔等切面观察室壁的结构及运动，判断心功能、瓣膜反流的情况。结果　31例NVM患者二维超声心动图示病变部位心肌心内膜面弥漫分布丰富肌小梁交织呈网状及其深陷其间的隐窝，彩色多普勒超声示隐窝内低速血流，并与心腔内高速血流相通。28例呈左室型（90.3%），以近心尖1/3～2/3的心肌尤为显著；2例呈右室型（6.5%）；1例呈双室型（3.2%）；1例隐窝内形成血栓（3.2%）。结论　超声心动图能清晰显示心内结构，客观评价心功能，对NVM具有重要的诊断价值。

Citation： LUO Kaiqin,GUO Mingzhen,SUN Qing.. The Value of Echocardiography for the Diagnosis of Noncompaction of Ventricular Myocardium. West China Medical Journal, 2013, 28(11): 1695-1697. doi: 10.7507/1002-0179.20130535 Copy

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6.	乔玉红, 张丽媛, 宁淑范, 等.经胸超声心动图诊断心肌致密化不全的临床价值[J].中国临床医学影像学杂志, 2009, 20(6): 485-486.
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1. 　王新房. 超声心动图学[M]. 4版. 北京: 人民卫生出版社, 2009: 799.
2. 　Jenni R, Oechslin EN, van der Loo B. Isolated ventricular non-compaction of the myocardium in adults[J]. Heart, 2007, 93(1): 11-15.
3. 　Oechslin EN, Jots CH, Rojas JR, et al. Long-term followup of 34 adults with isolated left ventricular non-compaction: a distinct cardiom yopathy with poor prognosis[J]. J Am Coll Cordial, 2000, 36(2): 493-500.
4. 　唐红伟, 刘汉英, 刘延玲, 等.超声诊断心肌致密化不全[J].中国超声医学杂志, 2000, 16(2): 104-106.
5. 　张凌, 黄昌举. 彩色多普勒超声诊断心肌致密化不全[J].中国医学影像学杂志, 2011, 19(3): 197-200.
6. 　乔玉红, 张丽媛, 宁淑范, 等.经胸超声心动图诊断心肌致密化不全的临床价值[J].中国临床医学影像学杂志, 2009, 20(6): 485-486.
7. 　Sereés L, Lopez J, Larrousse E, et al. Isolated noncom paction left ventricular myocardium and polymorphic ventricular tachycardia[J].Clin Cardiol, 2003, 26(1): 46-48.

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The Value of Echocardiography for the Diagnosis of Noncompaction of Ventricular Myocardium

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