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目的通过对３８例心肌梗塞并室壁瘤患者的二维超声心动图资料进行分析，探讨二维超声心动图对室壁瘤的诊断价值。方法应用日本东芝ＳＳＨ－６５Ａ彩色多普勒超声心动图仪，探头频率２．５ＭＨｚ，常规探查心脏各切面，仔细观察心脏形态、梗塞区心肌回声特点（厚度、强度、运动状况）及有无膨出和心腔内有无异常回声（附壁血栓），并测量心腔大小及心功能。结果二维超声心动图诊断的３８例室壁瘤患者均表现左室某一局部心室壁向外膨出，并持续整个心动周期，膨出的室壁变薄，回声增强，呈矛盾运动。其中合并左室扩大者３１／３８（８０％）、左室收缩功能减低者３２／３８（８４％）、舒张功能减低者２４／３８（６３％）、附壁血栓者１９／３８（５０％）。结论二维超声心动图是诊断室壁瘤简便而可靠的无创性检查，其对室壁瘤诊断有较肯定的临床价值。
Objective To analyze the two-dimensional echocardiographic data of 38 patients with myocardial infarction and ventricular aneurysm, and to explore the diagnostic value of two-dimensional echocardiography for ventricular aneurysm. Methods Toshiba SSH-65A color Doppler echocardiograph was used. The frequency of the probe was 2.5 MHz. The sections of the heart were routinely explored. The cardiac morphology, myocardial echo characteristics (thickness, strength, and exercise state) in the infarcted area and the presence or absence of inflation were carefully observed. Whether there is abnormal echo (mural thrombus) within and out of the heart chamber, measure heart chamber size and heart function. RESULTS: The 38 cases of ventricular aneurysm diagnosed by two-dimensional echocardiography all showed left ventricular bulging out of a certain part of the ventricular wall and continued throughout the cardiac cycle. The bulging wall was thin and the echo was enhanced. Among them, 31/38 (80%) patients with left ventricular enlargement, 32/38 (84%) patients with decreased left ventricular systolic function, 24/38 (63%) patients with decreased diastolic function, and 19/38 (50%) with mural thrombus were included. ). Conclusion Two-dimensional echocardiography is a simple and reliable non-invasive examination for the diagnosis of ventricular aneurysm. It has a certain clinical value for the diagnosis of ventricular aneurysm.