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[主动脉瓣孤立性狭窄的病因诊断]

[Etiological diagnosis of isolated stenosis of the aortic valve].

作者信息

Mitrofanova L B, Koval'skiĭ G B

机构信息

Research Institute of Cardiology, 194156, St-Petersburg.

出版信息

Arkh Patol. 2002 Jul-Aug;64(4):35-7.

Abstract

We tried to objectivize etiologic diagnosis of isolated aortic stenosis. We studied 950 valves removed during operation on the heart and 15 valves of the dead patients without cardiac pathology using automatic semi-quantitative microscopic description of the valve pathology with further calculation of informative value of the signs. As a result of our investigation the list of the most important signs for the differential diagnosis was compiled. We found out that most often causes of aortic stenosis are calcinosis of bicuspid aortic valve and senile calcinosis. Silvering of the nucleolus organiser in endotheliocytes and fibroblasts in various pathology of the aortic valve showed an increase in the metabolism level and plastic possibilities of the cells in aortic calcinosis.

摘要

我们试图使孤立性主动脉瓣狭窄的病因诊断客观化。我们研究了950例心脏手术中切除的瓣膜以及15例无心脏病变的死亡患者的瓣膜,采用自动半定量显微镜描述瓣膜病变,并进一步计算各征象的信息价值。通过我们的研究,编制了鉴别诊断的最重要征象清单。我们发现,主动脉瓣狭窄最常见的病因是二叶式主动脉瓣钙化和老年性钙化。在主动脉瓣的各种病变中,内皮细胞和成纤维细胞中核仁组织区的银染显示,主动脉钙化时细胞的代谢水平和可塑性增加。

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