目的分析探讨彩色多普勒超声 心动图对心肌梗死并发室壁瘤的诊断及 临床价值研究。方法 选取我院在2014年 4月-2017年6月收治的180例急性心肌梗 死并发室壁瘤患者，按数字法随机分为对 照组和研究组各90例，其中对照组患者采 用常规的心电图进行诊断，研究组患者采 用彩色多普勒超声心动图进行诊断，观察 对比两组诊断心肌梗死并发室壁瘤的敏 感度、检出率以及疗效情况。结果 采用 多普勒超声心动图诊断的研究组患者，敏 感度为100%，明显比常规心电图诊断的 对照组患者的敏感度76.7%高(P<0.05)； 研究组患者疗效率明显高于对照组患者 (P<0.05)；研究组患者的检出率显著高于 对照组患者(P<0.05)。结论 研究发现彩 色多普勒超声心动图对心肌梗死并发室壁 瘤诊断的敏感度和检出率高，疗效更佳， 在治疗和预后方面均有较高的临床价值， 值得推广和采用。

Objective The analysis of color Doppler echocardiography and clinical value in the diagnosis of myocardial infarction with left ventricular aneurysm. Methods In our hospital in 180 patients with acute myocardial infarction complicated with ventricular April 2014-2017 year in June from aneurysm, were randomly divided into control group and study group with 90 cases in each group, the control group were treated by routine ECG diagnosis, the study group was treated with color Doppler echocardiography for diagnosis, diagnosis were compared between the two groups myocardial infarction with left ventricular aneurysm sensitivity, detection rate and efficacy, record. Results The sensitivity of the study group was significantly higher than that of the control group (P<0.05), the treatment efficiency of the study group was significantly higher than that of the control group (P<0.05), and the detection rate of the study group was significantly higher than that of the control group (P<0.05). Conclusion Color Doppler echocardiography is better for myocardial infarction with left ventricular aneurysm diagnosis sensitivity and high detection rate, efficacy and clinical value were higher in the treatment and prognosis, and is worthy of promotion and use.