Dumesnil J G
Institut de Cardiologie de Québec, Sainte-Foy, Canada.
Ann Cardiol Angeiol (Paris). 1988 Nov;37(9):493-7.
Regurgitations may be detected with great sensitivity and good specificity by Doppler ultrasound cardiography. Semi-quantitative methods to evaluate its gravity are based on "mapping" using the pulsed Doppler or the color Doppler. Too rigid or exclusive criteria may result however in errors of interpretation and, as far as we are concerned, we prefer a classification regrouping the most possible elements, including conventional ultrasound cardiography. Measurements of the regurgitating volume and the regurgitating fraction may also be carried out from output measurements in different sites; however, the recording must be of very good quality and methodologic problems remain, which might nevertheless be resolved in the future. Other semi-quantitative methods, which are more specific to either one of the valves, have been advocated.
通过多普勒超声心动图可以非常敏感且具有良好特异性地检测到反流。评估反流严重程度的半定量方法基于使用脉冲多普勒或彩色多普勒的“绘图”。然而，过于严格或排他的标准可能导致解释错误，就我们而言，我们更倾向于一种整合尽可能多元素的分类方法，包括传统超声心动图。反流容积和反流分数的测量也可以从不同部位的输出测量中进行；然而，记录必须质量非常好，并且方法学问题仍然存在，不过这些问题未来可能会得到解决。还有其他一些更针对特定瓣膜的半定量方法也已被提倡。
