彩色多普勒超声在老年退行性心脏瓣膜病诊断中应用价值分析.docVIP

彩色多普勒超声在老年退行性心脏瓣膜病诊断中应用价值分析 　　[摘要]目的 研究探讨彩色多普勒超声用于老年退行性心脏瓣膜病（SDHVD）患者临床诊断的价值。方法 选取2013年3月～2017年7月我院收治的130例疑似SDHVD老年患者作为研究对象，所有患者均接受彩色多普勒超声检查，以临床综合诊断结果作为参照，计算彩色多普勒超声对SDHVD诊断的灵敏度、特异度、准确性，分析彩色多普勒超声的诊断结果与临床综合诊断结果的一致性，统计彩色多普勒超声对SDHVD不同分型的诊断符合率。结果 彩色多普勒超声对SDHVD的诊断灵敏度、特异度、准确性分别为94.23%、96.15%、94.61%；彩色多普勒超声诊断结果与临床综合诊断结果的一致性良好，Kappa=0.735；彩色多普勒超声对主动脉瓣钙化、二尖瓣钙化、联合瓣膜钙化的诊断符合率分别为96.23%、96.43%、100.00%。结论 在老年SDHVD的临床诊断中，采用彩色多普勒超声诊断具有较高的灵敏度、特异度和准确性，可对不同分型的心脏瓣膜病变予以鉴别区分，其诊断价值相对较高。 　　[关键词]退行性心脏瓣膜病；诊断；彩色多普勒超声 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0116-03 　　[Abstract]Objective To study and explore the value of color Doppler ultrasound in the diagnosis of senile degenerative heart valvular disease （SDHVD）.Methods From March 2013 to July 2017，130 elderly patients with suspected SDHVD in our hospital were selected as research objects.All patients were examined by color Doppler ultrasound.With reference to clinical comprehensive diagnostic results，the diagnostic sensitivity，specificity，and accuracy of color Doppler ultrasound for SDHVD were calculated.The consistency between the diagnostic results of color Doppler ultrasound and clinical diagnosis was analyzed，and the diagnostic coincidence rate of SDHVD in different types was statistically analyzed.Results The sensitivity，specificity，and accuracy of color Doppler ultrasound in the diagnosis of SDHVD were 94.23%，96.15%，and 94.61%，respectively，which proved a great consistence between the diagnostic results of color Doppler ultrasound and clinical diagnosis（Kappa=0.735）.The diagnostic accordance rates of color Doppler ultrasound in aortic valve calcification，mitral valve calcification，and combined valve calcification were 96.23%，96.43%，and 100.00% respectively.Conclusion In the clinical diagnosis of SDHVD，color Doppler ultrasound diagnosis has a high sensitivity，specificity，and accuracy，can be used to distinguish the different types of valvular heart disease in a relatively high diagnostic value. 　　[Key words]Senile degen