摘要
目的分析冠心病(Coronary heart disease,CHD)乳头肌功能失调(Papillary muscle dysfunction,PMD)的临床与超声诊断对比价值。方法患者诊治时间介于2018年11月至2020年11月间,共计CHD-PMD患者89例。对其进行临床诊断和超声诊断,对比二者的诊断价值。结果超声诊断夜间伴间断性呼吸困难几率为78.65%,临床诊断为70.79%;超声诊断活动后伴气短心慌几率为77.53%,临床诊断为71.91%;超声诊断肺啰音率为74.16%,临床诊断为67.42%;超声诊断心界向左增大几率为80.90%,临床诊断为71.91%,差异无统计学意义(P>0.05)。超声诊断的阳性率为86.52%,临床诊断阳性率为71.91%;以病理诊断书为标准,超声诊断的敏感度为97.33%,临床诊断为74.24%;超声诊断的特异度为71.43%,临床诊断为34.78%;超声诊断的准确率为93.26%,临床诊断为64.04%,差异有统计学意义(P<0.05)。超声诊断的发病-诊断时间为(1.29±0.34)月,临床诊断为(5.88±0.47)月,差异有统计学意义(P<0.05)。结论超声诊断CHD-PMD的精准度显著优于临床诊断,但二者对于临床表现的诊断效果具有一致性,可在临床诊断的基础上进行超声检查,以增强诊断效果。
Objective To analyze the value of clinical diagnosis and ultrasonic diagnosis in coronary heart disease(CHD)with papillary muscle dysfunction(PMD).Methods A total of 89 CHD-PMD patients diagnosed and treated from November 2018 to November 2020 were selected.Clinical diagnosis and ultrasonic diagnosis were carried out,and the diagnostic value of the two methods was compared.Results The rate of intermittent dyspnea at night was 78.65% by ultrasonic and 70.79% by clinical diagnosis.The rate of shortness of breath and palpitation was 77.53% by ultrasonic diagnosis and 71.91% by clinical diagnosis.The probability of lung rales was 74.16% by ultrasonic diagnosis and 67.42% by clinical diagnosis.The probability of left enlargement of cardiac boundary was 80.90% by ultrasonic diagnosis and 71.91% by clinical diagnosis,with no significant differences(P>0.05).The positive rate of ultrasonic diagnosis was 86.52%,and that of clinical diagnosis was 71.91%.According to the pathological diagnosis certificate,the sensitivity of ultrasonic diagnosis was 97.33%,and that of clinical diagnosis was 74.24%.The specificity of ultrasonic diagnosis was 71.43%,and that of clinical diagnosis was 34.78%.The accuracy of ultrasonic diagnosis was 93.26%,and that of clinical diagnosis was 64.04%,with statistically significant differences(P<0.05).The duration from onset to diagnosis was(1.29±0.84)months by ultrasonic diagnosis and(5.88±0.92)months by clinical diagnosis,with statistically significant difference(P<0.05).Conclusion The accuracy of ultrasound in the diagnosis of CHD-PMD is significantly better than that of clinical diagnosis.These two methods show the similar diagnostic effect on clinical manifestations.Ultrasound examination can be carried out on the basis of clinical diagnosis to enhance the diagnostic effect.
作者
韩娟娟
HAN Juanjuan(Department of Ultrasound,Zaozhuang Hospital of Traditional Chinese Medicine,Shandong,Zaozhuang 277100,China)
出处
《中国现代医生》
2021年第21期100-102,共3页
China Modern Doctor
关键词
冠心病
乳头肌功能失调
临床诊断
超声诊断
诊断精准度
Coronary heart disease
Papillary muscle dysfunction
Clinical diagnosis
Ultrasonic diagnosis
Diagnostic accuracy
