摘要
目的 分析老年性升主动脉瘤的超声表现及相关因素。方法 彩色多普勒超声心动图检查了66例老年性升主动脉瘤 ,并分析了与老年性升主动脉瘤有关的高血压病、高血脂症及冠心病的相关资料。 结果 66例老年性升主动脉瘤超声表现为升主动脉呈囊形扩张34例 ,呈梭形扩张32例 ,管壁均增厚 (大于5mm) ,伴夹层2例 ,主动脉瓣钙化33例 ,主动脉管壁钙化20例 ,伴主动脉瓣关闭不全46例。66例老年性升动脉瘤中61例有高血压病史 ,占92.4 % ;52例患高血脂症 ,占78.8 % ;伴冠心病40例 ,占60.6 %。结论 老年性升主动脉瘤与高血压病、高血脂症、冠心病有关。彩色多普勒超声心动图是诊断老年性升主动脉瘤的有效方法。
Objective To analyze ultrasonography and related factors of ascending aortic aneurysm in the elderly. Methods 66 cases of ascending aortic aneurysm were examined by color-doppler ultrasound instrument, and their clinical data was also reviewed. Results 34 were saccular aneurysm, while 32 were fusiform aneurysm. Among them, 2 had aortic dissection, 33 had calcified aortic valves, 20 had calcified aortic wall and 46 had aortic insufficiency. Most cases had hypertension, hyperlipemia or coronary artery disease history. Conclusion Ascending aortic aneurysm in the elderly was related to Hypertension, hyperlipemia and coronary artery disease, and ultrasonography was an effective diagnostic method.
出处
《浙江临床医学》
2001年第3期149-150,共2页
Zhejiang Clinical Medical Journal
