Neimann J L
Sem Hop. 1982 Feb 18;58(7):387-91.
This study compares the information supplied by auscultation, echocardiography and left ventriculography in the diagnosis of mitral prolapse from a study of the world literature and a personal study. A click on auscultation or a telesystolic click murmur is noted in almost 74 p. cent of cases. Echocardiography may lead to false negatives in partial prolapse of the posterior valve and in ventriculography, even judged according to strict and restrictive criteria they may make errors by excess. Telemetric echocardiography may assess in an overall way the number or prolapsed valvular structures and the degree of mitral incompetence. The respective indications of the 3 methods are given in detail.
本研究通过对世界文献的研究及个人研究,比较了听诊、超声心动图和左心室造影在二尖瓣脱垂诊断中所提供的信息。听诊时出现喀喇音或收缩晚期喀喇音杂音的情况在近74%的病例中可见。超声心动图在后叶部分脱垂时可能出现假阴性,而在心室造影中,即使按照严格和限制性标准判断,也可能出现过度诊断错误。遥测超声心动图可以全面评估脱垂瓣膜结构的数量和二尖瓣反流程度。详细给出了这三种方法各自的适应证。