中国医学计算机成像杂志
中國醫學計算機成像雜誌
중국의학계산궤성상잡지
CHINESE JOURNAL OF MEDICAL COMPUTED IMAGING
2007年
4期
287-291
,共5页
放射性核素心室造影%左心室心肌梗死%左心室壁瘤%左室整体和局部功能
放射性覈素心室造影%左心室心肌梗死%左心室壁瘤%左室整體和跼部功能
방사성핵소심실조영%좌심실심기경사%좌심실벽류%좌실정체화국부공능
Radionuclide ventriculography%Left ventricular myocardial infarction%Left ventricular aneurysm%Left ventricular global and regional function.
目的:利用放射性核素心室造影技术评价前壁心肌梗死后室壁瘤形成对左心室整体和局部的收缩及舒张功能的影响.材料和方法:患者分为对照组(G0)15名,单纯前壁心肌梗死组(G1)29名,前壁心肌梗死并发室壁瘤组(G2)15名.运用放射性核素心室造影检查技术测定心功能指标:①左室整体收缩功能参数:LVEF、TPE、PER、1/3EF、1/3ER.②左室整体舒张功能参数:TPF、PFR、1/3FF、1/3FR.③左室局部收缩功能参数:LVREF(6个节段).④左室局部舒张功能参数:LVR1/3FF(6个节段).结果:①左室整体收缩功能参数,在LVEF、PER、1/3EF、1/3ER中,G2较G1和G0有明显下降(P＜0.001).②左室整体舒张功能参数,PFR、1/3FF、1/3FR,G2比G1和G0有明显下降(P＜0.001).③左室局部收缩功能参数,LVREF在所有1-6 节段G2较G1和G0有明显下降(P＜0.01).④左室舒张功能参数,LVR1/3FF在所有1-6 节段G2较G1和G0有明显下降(P＜0.01).结论:左心室壁瘤的形成对左心室整体和局部的收缩和舒张功能已经构成了严重的损害.
目的:利用放射性覈素心室造影技術評價前壁心肌梗死後室壁瘤形成對左心室整體和跼部的收縮及舒張功能的影響.材料和方法:患者分為對照組(G0)15名,單純前壁心肌梗死組(G1)29名,前壁心肌梗死併髮室壁瘤組(G2)15名.運用放射性覈素心室造影檢查技術測定心功能指標:①左室整體收縮功能參數:LVEF、TPE、PER、1/3EF、1/3ER.②左室整體舒張功能參數:TPF、PFR、1/3FF、1/3FR.③左室跼部收縮功能參數:LVREF(6箇節段).④左室跼部舒張功能參數:LVR1/3FF(6箇節段).結果:①左室整體收縮功能參數,在LVEF、PER、1/3EF、1/3ER中,G2較G1和G0有明顯下降(P＜0.001).②左室整體舒張功能參數,PFR、1/3FF、1/3FR,G2比G1和G0有明顯下降(P＜0.001).③左室跼部收縮功能參數,LVREF在所有1-6 節段G2較G1和G0有明顯下降(P＜0.01).④左室舒張功能參數,LVR1/3FF在所有1-6 節段G2較G1和G0有明顯下降(P＜0.01).結論:左心室壁瘤的形成對左心室整體和跼部的收縮和舒張功能已經構成瞭嚴重的損害.
목적:이용방사성핵소심실조영기술평개전벽심기경사후실벽류형성대좌심실정체화국부적수축급서장공능적영향.재료화방법:환자분위대조조(G0)15명,단순전벽심기경사조(G1)29명,전벽심기경사병발실벽류조(G2)15명.운용방사성핵소심실조영검사기술측정심공능지표:①좌실정체수축공능삼수:LVEF、TPE、PER、1/3EF、1/3ER.②좌실정체서장공능삼수:TPF、PFR、1/3FF、1/3FR.③좌실국부수축공능삼수:LVREF(6개절단).④좌실국부서장공능삼수:LVR1/3FF(6개절단).결과:①좌실정체수축공능삼수,재LVEF、PER、1/3EF、1/3ER중,G2교G1화G0유명현하강(P＜0.001).②좌실정체서장공능삼수,PFR、1/3FF、1/3FR,G2비G1화G0유명현하강(P＜0.001).③좌실국부수축공능삼수,LVREF재소유1-6 절단G2교G1화G0유명현하강(P＜0.01).④좌실서장공능삼수,LVR1/3FF재소유1-6 절단G2교G1화G0유명현하강(P＜0.01).결론:좌심실벽류적형성대좌심실정체화국부적수축화서장공능이경구성료엄중적손해.
Purpose: To assess left ventricular (LV) global and regional function of systolic and diastolic in the patients with ventricular aneurysm after anterior wall myocardial infarction, we analyzed high - temporal - resolution LV global and regional time - activity curves obtained from gated radionuclide ventriculargraphy. Materials and Methods: The patients were divided into three groups, a control group(G0) of 15 normal peoples, and two groups of patients with previous anterior wall myocardial infarction, a first group(G1) of 29 patients without aneurysm, a second group(G2) of 15 patients with aneurysm. The parameters included:①LV global systolic and diastolic function parameters, ②LV regional systolic and diastolic function parameters. Results: ① LV global systolic function: the parameters of LVEF PER 1/3EF 1/3ER in G2 were reduced significantly than that in G0 and G1(P ＜ 0. 001). ②LV global diastolic function: the parameters of PFR 1/3FF 1/3FR in G2 were reduced significantly than that in G0 and G1 (P ＜ 0. 001) . ③LV regional systolic function: the parameter of LVREF in G2 were reduced significantly in all LV regional 6 segments than that in G0 and G1 (P ＜ 0.01) . ④LV regional distolic function: the parameter of LVRi/3FF in G2 were reduced significantly in all LV regional 6 segments than that in G0 and G1 (P ＜ 0.01). Conclusion: Forming of left ventricular aneurysm had produced damage on left ventricular global and regional function of systolic and diastolic.
