CHARACTERISTIC ECHOCARDIOGRAPHIC MANIFESTATIONS OF BEHCET'S DISEASE
CHARACTERISTIC ECHOCARDIOGRAPHIC MANIFESTATIONS OF BEHCET'S DISEASE
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BEHCET 病的特征性超声心动图表现
DOI：
10.1016/j.ultrasmedbio.2017.12.010
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发表时间：
2018-04-01
影响因子：
2.9
通讯作者：
Li, Yijia
中科院分区：
文献类型：
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作者：
Pu, Lihong;Li, Rongjuan;Li, Yijia
本研究的目的是确定特征性的超声心动图表现的白维特病。对我院2002年1月至2016年12月收治的97例白塞病患者进行回顾性分析。有63例患者（64.9%）心脏受累;其中包括47例男性（74.6%）和16例女性（25.4%）。在这63例患者中，大多数（74.6%）存在瓣膜病变，尤其是主动脉瓣返流。瓣膜的主要特征性表现为瓣尖脱垂伴囊样改变、赘生物样病变和瓣环内无回声间隙。其次是主动脉病变（30.0%），包括主动脉扩张或动脉瘤形成、主动脉假性动脉瘤和冠状窦瘤。其他临床表现如心脏血栓形成、冠状动脉假性动脉瘤、肺动脉瘤和心包积液少见。心脏受累在白塞病患者中并不罕见，尤其是在男性中，其特征是瓣膜疾病，尤其是主动脉瓣反流。当评估具有这些特征性超声心动图表现的患者时，应考虑白塞病的诊断。(C)2018年世界医学和生物学超声联合会。All rights reserved.
The objective of this study was to determine the characteristic echocardiographic manifestations of Behvet's disease. Ninety-seven Behcet's patients admitted to our hospital from January 2002 to December 2016 were retrospectively analyzed. There were 63 patients (64.9%) with cardiac involvement; these included 47 men (74.6%) and 16 women (25.4%). Of these 63 patients, most (74.6%) exhibited valvular lesions, especially aortic regurgitation. The primary characteristic manifestations of valves were cusp prolapse with aneurysmal changes, vegetation-like lesions and echo-free spaces within the annulus. Second (30.0%) were aortic lesions, including aortic dilation or aneurysm formation, aortic pseudoaneurysm and coronary sinus aneurysm. Other manifestations, such as cardiac thrombosis, coronary arterial pseudoaneurysm, pulmonary aneurysm and pericardial effusion, were rare. Cardiac involvement is not uncommon in Behcet's patients, especially in males, and it is characterized by valvular disease, especially aortic regurgitation. The diagnosis of Behcet's disease should be considered when evaluating patients with these characteristic echocardiographic manifestations. (C) 2018 World Federation for Ultrasound in Medicine & Biology. All rights reserved.