摘要
目的 通过对马凡综合征及动脉硬化性动脉瘤患者超声资料的详细分析 ,为临床鉴别诊断及手术时机选择提供有价值的依据。方法 应用超声心动图对 68例马凡综合征、10 5例动脉硬化性动脉瘤患者的心脏结构、功能进行评价。特别注意测量主动脉瓣环、主动脉窦部、升主动脉、主动脉弓部及胸降主动脉。结果 ①马凡综合征胸主动脉扩张部位、扩张程度与动脉硬化性动脉瘤不同。②马凡综合征患者主动脉关闭不全及左心功能不全程度较动脉硬化性动脉瘤患者为重。③马凡综合征患者易发生DebakeyI、II型夹层动脉瘤 ;动脉硬化患者易发生DebakeyI、III型 ,特别是III型夹层动脉瘤。④发生夹层动脉瘤时、动脉硬化组胸主动脉最大扩张程度较马凡综合征组为轻。结论 超声心动图能鉴别马凡综合征与动脉硬化性动脉瘤 。
Objective To study the echocardiographic manifestations and pathogenic analysis in the patients with thoracic arotic aneurysm.Methods Seventy patients with Marfan's syndrome (group 1) and 132 patients with arteriosclerosis aneurysm (group 2) were detected by echocardiography. The arotic annulus, sinuses of valsalva, ascending arota, arotic arch and descending arota in all patients were emphatically measured. Results ①There were differences in dilated areas and extent of thoracic arota between two groups. ②The arotic regurgitation and left ventricular insufficiency in the patients with Marfan's syndrome were more serious than those of the patients with arteriosclerosis aneurysm. ③The patients with Marfan's syndrome frequently suffered from Debakey type I or Debakey type II arotic dissections, but the patients with arteriosclerosis aneurysm suffered from Debakey type I or type III arotic dissections, especially Debakey type III. Conclusions Echocadiography is an useful technique for the differential diagnosis and choosing the timing of surgical management for arotic aneurysm in the patients with Marfan's snydrome and arteriosclerosis aneurysm.
出处
《中华超声影像学杂志》
CSCD
2002年第12期740-742,共3页
Chinese Journal of Ultrasonography
