[心脏心室发育不全的诊断:形态学和形态学在其评估中的作用]。

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-11-01
V A Bukharin, O A Makhachev, Iu I Bondarev, M A Nasedkina, I N Mitina, P A Chigochidze, A A Reznikov
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引用次数: 0

摘要

本文报道了脑室发育不全的定量解剖和形态学研究的结果。研究对象为28例心脏标本,其中左心室发育不全15例,右心室发育不全13例。对照组取10例正常心脏标本。28只标本均进行形态测定。同时,对右心室发育不全的诊断进行了心血管测量和心室体积特征的计算。结果确定了心脏心室发育不全的形态计量标准及其形态变异。研究发现,心脏的线性特征为诊断发育不全和确定其程度提供了足够的信息。形态学分析表明,正常和病理心脏房室瓣膜直径与心室线形大小的比值是恒定的。上述知识具有很大的实际重要性,因为在超声心动图中确定房室瓣膜的大小后,可以计算心脏的所有线性特征,并通过定量标准评估心室的大小。本文给出了这种计算方法,其结果证明了所建议常数的高精度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnosis of hypoplasia of the heart ventricles: role of morphometry and morphology in its assessment].

The article deals with the results of the study of the quantitative anatomy and morphology of hypoplastic ventricles. The object of study were 28 specimens of the heart: 15 with hypoplasia of the left ventricle and 13 with hypoplasia of the right ventricle. The control group was composed of 10 specimens of normal hearts. Morphometry was conducted in all of the 28 specimens. At the same time angiocardiometry and calculations of the volume characteristics of the ventricles were undertaken in the diagnosis of hypoplasia of the right ventricle. The morphometric criteria of hypoplasia of the heart ventricles and their morphological variants were determined as a result. It was found that the lineal characteristics of the heart yielded sufficient information both for the diagnosis of hypoplasia and for determining its degree. Morphometry showed that constant ratios exist between the diameters of the atrioventricular valves and the lineal sizes of the ventricles in normal and pathological hearts. Knowledge of the aforesaid is of much practical importance because having determined the sizes of the atrioventricular valves during echocardiography one may calculate all linear characteristics of the heart and evaluate the sizes of the ventricles by means of the quantitative criteria. The article gives the method of such calculation, while its results are evidence of the high precision of the suggested constants.

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