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[二尖瓣交界切开术前及术后超声心动图对二尖瓣狭窄的解剖和功能评估]

[Anatomical and functional assessment of mitral stenosis using echocardiography before and after commissurotomy].

作者信息

Todorova M

出版信息

Kardiologiia. 1978 Sep;18(9):52-6.

PMID:703056
Abstract

In 36 patients with pure mitral stenosis verified during catheterization and operation the results of echocardiography were compared with the operative findings. The changes in the mitral echogram and the degree of valve calcification before commissurotomy were studied. The hemodynamic changes in pulmonary circulation were approximately appraised by determining the degree of delay of the EF interval on the echogram of the anterior cusp of the mitral valve. Significant conformity between the dimished rate of diastolic movement of the anterior mitral cusp and the degree of mitral stenosis was established. The importance of the advancement of the posterior mitral cusp to the front of the horizontal line passing through point C of mitral valve closure in the appraisal of the degree of its stenosis is underscored.

摘要

在36例经心导管检查和手术证实为单纯二尖瓣狭窄的患者中,将超声心动图结果与手术所见进行了比较。研究了二尖瓣切开术前二尖瓣超声心动图的变化及瓣膜钙化程度。通过测定二尖瓣前叶超声心动图上EF间期的延迟程度,大致评估了肺循环的血流动力学变化。二尖瓣前叶舒张期运动速率减慢与二尖瓣狭窄程度之间存在显著相关性。强调了在评估二尖瓣狭窄程度时,二尖瓣后叶前移至二尖瓣关闭点C水平连线前方的重要性。

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Kardiologiia. 1978 Sep;18(9):52-6.
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