中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2010年
11期
921-924
,共4页
陈海燕%潘翠珍%陈昶宇%方晓燕%陈昊%王春生%舒先红
陳海燕%潘翠珍%陳昶宇%方曉燕%陳昊%王春生%舒先紅
진해연%반취진%진창우%방효연%진호%왕춘생%서선홍
超声心动描记,实时三维%心脏移植%心室功能,右
超聲心動描記,實時三維%心髒移植%心室功能,右
초성심동묘기,실시삼유%심장이식%심실공능,우
Echocardiography,real-time three-dimensional%Heart transplantation%Ventricular function,right
目的 探讨心脏移植术后供心的右心形态学及功能学改变.方法 入组健康志愿者60例及心脏移植术患者31例.所有研究对象均行常规超声心动图检查,并应用单心动周期实时三维超声心动图评价右心室形态及收缩功能的相关参数,所有心脏移植患者超声检查3个月内曾行心内膜活检.根据1990年国际心肺移植协会排异反应标准,将病例组分为排异组和非排异组.结果 对照组、非排异组、排异组间右室每搏输出量(RVSV)及右室射血分数(RVEF)测值呈递减趋势,差异有统计学意义[RVSV:对照组、非排异组、排异组分别为(56.18±23.72)ml、(36.08±10.94)ml和(26.22±9.84)ml,P＜0.0001;RVEF:对照组、非排异组、排异组分别为(62.09±7.18)%、(51.04±7.58)%和(35.86±9.86)%,P＜0.00001].剔除排异患者后,短期组、长期组间差异无统计学意义.结论 实时三维超声心动图能够快速评价右室形态及整体收缩功能,其中RVEF最敏感和稳定,对心脏移植患者术后长期监测随访具有良好的临床应用前景.
目的 探討心髒移植術後供心的右心形態學及功能學改變.方法 入組健康誌願者60例及心髒移植術患者31例.所有研究對象均行常規超聲心動圖檢查,併應用單心動週期實時三維超聲心動圖評價右心室形態及收縮功能的相關參數,所有心髒移植患者超聲檢查3箇月內曾行心內膜活檢.根據1990年國際心肺移植協會排異反應標準,將病例組分為排異組和非排異組.結果 對照組、非排異組、排異組間右室每搏輸齣量(RVSV)及右室射血分數(RVEF)測值呈遞減趨勢,差異有統計學意義[RVSV:對照組、非排異組、排異組分彆為(56.18±23.72)ml、(36.08±10.94)ml和(26.22±9.84)ml,P＜0.0001;RVEF:對照組、非排異組、排異組分彆為(62.09±7.18)%、(51.04±7.58)%和(35.86±9.86)%,P＜0.00001].剔除排異患者後,短期組、長期組間差異無統計學意義.結論 實時三維超聲心動圖能夠快速評價右室形態及整體收縮功能,其中RVEF最敏感和穩定,對心髒移植患者術後長期鑑測隨訪具有良好的臨床應用前景.
목적 탐토심장이식술후공심적우심형태학급공능학개변.방법 입조건강지원자60례급심장이식술환자31례.소유연구대상균행상규초성심동도검사,병응용단심동주기실시삼유초성심동도평개우심실형태급수축공능적상관삼수,소유심장이식환자초성검사3개월내증행심내막활검.근거1990년국제심폐이식협회배이반응표준,장병례조분위배이조화비배이조.결과 대조조、비배이조、배이조간우실매박수출량(RVSV)급우실사혈분수(RVEF)측치정체감추세,차이유통계학의의[RVSV:대조조、비배이조、배이조분별위(56.18±23.72)ml、(36.08±10.94)ml화(26.22±9.84)ml,P＜0.0001;RVEF:대조조、비배이조、배이조분별위(62.09±7.18)%、(51.04±7.58)%화(35.86±9.86)%,P＜0.00001].척제배이환자후,단기조、장기조간차이무통계학의의.결론 실시삼유초성심동도능구쾌속평개우실형태급정체수축공능,기중RVEF최민감화은정,대심장이식환자술후장기감측수방구유량호적림상응용전경.
Objective To investigate the shape and function of right ventricles in patients received heart transplantation(HT). Methods Sixty healthy volunteers(control group) and 31 HT patients(HT group) were enrolled, and the HT group was further divided into the nonrejected(HTn) group and the rejected(HTp) group based on the endomyocardial biopsy(EMB) results. All the participants received routine echocardiography. Single beat real-time three-dimensional echocardiography (sRT-3DE) was performed in all to evaluate parameters concerning modality and systolic function of participants' right ventricles. Results 1) Right ventricular stroke volume (RVSV) and right ventricular ejection fraction (RVEF) were significantly different among the groups[RVSV: control group vs HTn group vs HTp group was (56.18 ± 23.72)ml vs (36.08 ± 10.94)ml vs (26.22 ± 9.84)ml, P ＜0.0001; RVEF:control group vs HTn group vs HTp group was (62.09± 7.18)% vs (51.04 ± 7.58) vs (35.86 ± 9.86)%, P ＜0.00001＝.2＝ When taking the influence of rejection into consideration,RVEF was proved to be a stable and sensitive indicator. Conclusions sRT-3DE can quickly assess shape and systolic function of right ventricle.RVEF was the most stableand sensitive among all the RV-related indicators and is a promising indicator in the clinic follow-up of HT patients.
