河北医学Issue(11)：1795-1798,4.DOI:10.3969/j.issn.1006-6233.2015.11.012
感染性心内膜炎患者超声心动图诊断价值分析
The Clinical Diagnosis Value of Echocardiography in Patients with Infective Endocarditis
摘要
Abstract
Objective:To investigate the clinical diagnosis value of echocardiogram in patients with in-fective endocarditis .Method: The data of 64 patients with suspected infective endocarditis treated in our hospital between January 2009 and January 2015 were retrospectively analyzed , the detection of infective en-docarditis -associated complications and excrescences was compared by transthoracic echocardiography (TTE) and by transesophageal echocardiography (TEE), and the sensitivities and specificities of TTE and TEE in diagnosis of various pathological changes in patients with endocardium involved were compared .Re-sult:Excrescences were detected by TTE in 31 patients (48.44%) and by TEE in 49 patients (76.56%), and the difference in detection rate between the two detection methods was statistically significant ( P<0.05);the average size of excrescences detected by TTE was significantly smaller than that detected by TEE ( P<0. 05);the differences in detection rates of endocarditis -associated complications including perivalvular ab-scess , perivalvular leakage , perforation of cardiac valve and ruptured chordae tendineae by the two detection methods were statistically insignificant ( P>0.05); when taking TEE as the diagnostic criterion of infective endocarditis, the sensitivity and specificity of TTE detection were 63.27%and 86.67%, respectively.Con-clusion:Echocardiography has important clinical significances in diagnosis of infective endocarditis .TEE is more sensitive for the detection of infective endocarditis , but TTE can also provide positive evidence , and TTE is the first choice for diagnosis of infective endocarditis currently .关键词
超声心动图/感染性心内膜炎/临床诊断Key words
Echocardiography/Infective endocarditis/Clinical diagnosis引用本文复制引用
李洪琳,王丽..感染性心内膜炎患者超声心动图诊断价值分析[J].河北医学,2015,(11):1795-1798,4.基金项目
四川省教育厅项目资助， （）
