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《Shanghai Medical & Pharmaceutical Journal》 2019-06
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Evaluation of ultrasound in the diagnosis of senile cardiac valve degenerative diseases

HONG Bing;HU Yingfei;CHEN Juan;Functional Department of Hospital of Traditional Chinese Medicine of Xinyu;  
Objective: To investigate the effect of ultrasound in the diagnosis of senile cardiac valve degenerative diseases.Methods: Sixty patients with senile cardiac valve degenerative diseases who underwent ultrasonography at Xinyu Hospital of Traditional Chinese Medicine from January to July 2018 were included in the observation group, and sixty healthy volunteers who underwent routine physical examination during the same period were included in the control group. There were 33 males and 27 females in the observation group, the age ranged from 61 to 80 years, and the average age was(63.24±5.85) years old; in the control group, there were 35 males and 25 females, the age ranged from 50 to 80 years, and the average age was(60.29±5.93) years old.Cardiac ultrasonography was routinely performed in the two groups, and the parameters of heart valve ultrasound examination were compared between the two groups, and the detection of calcification in senile cardiac valve degenerative diseases and the diagnostic effect of ultrasonography were analyzed. Results: The circumference of the annulus, distance from anterolateral to posterior junctions of annulus valves, the projection area of the annulus, the length from the root of the anterior leaflet to the convolution line,the length from the root of the posterior leaflet to the convolution line, and the anterior leaflet area of the valve leaflets of the patients in the observation group were higher than those in the control group, and the difference was statistically significant(P0.05). The detection rate of aortic valve calcification in patients with senile cardiac valve degenerative diseases was higher than that of mitral calcification(P0.05). The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of ultrasonography in the diagnosis of senile cardiac valve degenerative diseases were all over 95%. Conclusion: There are significant changes in valvular parameters in elderly patients with cardiac valve degenerative diseases. Most patients have a calcified position in the aortic valve. Ultrasound diagnosis of early senile cardiac valve degenerative disease is effective.
【CateGory Index】: R542.5;R445.1
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