心电图联合超声心动图对致心律失常性右室心肌病诊断价值.docVIP

心电图联合超声心动图对致心律失常性右室心肌病诊断价值 　　[摘要] 目的 探讨心电图联合超声心动图对致心律失常性右室心肌病的诊断价值。 方法 选择2014年2月至～2016年3月间我院诊治的致心律失常性右室心肌病患者33例作为观察对象，33例患者分别进行心电图和超声心动图检查，对比分析两种检查结果，探讨心电图联合超声心动图对致心律失常性右室心肌病的诊断价值。 结果 33例致心律失常性右室心肌病患者中静息心电图显示，24例（72.73%）患者电轴右偏，QRS波增宽110ms者22例（66.67%），T波倒置21例（63.64%），Epsilon波12例（36.36%）；超声心动图ARVC患者主要表现为右室增大占90.91%，右室肌小梁紊乱占75.76%，右室流出道增宽占66.67%，右室壁弥漫性变薄占66.67%，右房增大占51.52%，其次表现为束回声增强占30.30%，室壁瘤形成占15.15%，右室壁局限性变薄占11.11%。 结论 心电图联合超声心动图检查能提高致心律失常性右室心肌病诊断准确性。值得临床推广采用。 　　[关键词] 心电图；超声心动图；致心律失常性右室心肌病 　　[中图分类号] R541.7 [文献标识码] A [文章编号] 2095-0616（2017）15-245-03 　　[Abstract] Objective To explore the diagnostic value of electrocardiogram combined with echocardiography in arrhythmogenic right ventricular cardiomyopathy. Methods 33 patients with arrhythmogenic right ventricular cardiomyopathy diagnosed and treated in our hospital from February 2014 and March 2016 were selected as the observation object.ECG and echocardiogram were performed on the 33 patients， respectively.Two inspection results were compared and analyzed.Diagnostic value of electrocardiogram combined with echocardiography in arrhythmogenic right ventricular cardiomyopathy were explored. Results Resting electrocardiographic findings in 33 patients with arrhythmogenic right ventricular cardiomyopathy showed 24 cases（72.73%） patients with right axis deviation，22 cases of QRS is wide 110 MS （66.67%），T wave inversion in 21 cases （63.64%），12 cases of Epsilon wave （36.36%）.Echocardiography in ARVC patients mainly showed enlargement of the right ventricle， accounting for 90.91%，the proportion of right ventricular muscle trabeculae was 75.76%，and that of right ventricular outflow tract was 66.67%，diffuse thinning of the right ventricular wall accounted for 66.67%，and right atrial enlargement accounted for 51.52%，followed by beam echo enhancement，accounting for 30.30%，the left ventricular aneurysm formation accounted for 15.15%，right ventricular wall localized thinning accounted for 11.11%. Conclusion ECG combined with e