Scheublé C, Castillo-Fenoy A
Centre cardiologique du Nord, Saint-Denis.
Arch Mal Coeur Vaiss. 1990 May;83(6):823-37.
Of all the diagnostic facilities offered by ultrasound in cardiology, clinicians often pause one question: how can valvular regurgitation be quantified by Doppler echocardiography? The large number of articles which have been published in the international literature indicates that there is no simple answer. The aim of this paper is two-fold: firstly, to review the different approaches and underlying "philosophies" and, secondly, to set out a practical strategy for the investigation of the two most important regurgitations, mitral and aortic. The authors conclude this technical presentation with an essential word of caution in the interpretation of the data: concordance of the different indices of severity and clinical coherence of the criteria of evaluation.
在超声心动图为心脏病学提供的所有诊断手段中，临床医生常常会纠结一个问题：如何通过多普勒超声心动图对瓣膜反流进行定量分析？国际文献中发表的大量文章表明，这个问题并没有简单的答案。本文的目的有两个：其一，回顾不同的方法及其背后的“理念”；其二，阐述针对两种最重要的反流（二尖瓣反流和主动脉瓣反流）进行检查的实用策略。作者在这个技术介绍的结尾，就数据解读给出了一句至关重要的警示：不同严重程度指标之间的一致性以及评估标准与临床情况的相符性。
