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
9期
757-760
,共4页
赖长春%童跃锋%徐永远%胡智星%王云乡%李浙成%吕炜俊%柳泽华
賴長春%童躍鋒%徐永遠%鬍智星%王雲鄉%李浙成%呂煒俊%柳澤華
뢰장춘%동약봉%서영원%호지성%왕운향%리절성%려위준%류택화
超声心动描记术%冠状动脉疾病%心外膜脂肪组织厚度
超聲心動描記術%冠狀動脈疾病%心外膜脂肪組織厚度
초성심동묘기술%관상동맥질병%심외막지방조직후도
Echocardiography%Coronary disease%Epicardial adipose thickness
目的 评价经超声测量的心外膜脂肪组织厚度(EAT)和冠状动脉病变的相关性.方法 147例接受冠状动脉造影患者,根据造影结果分为冠心病组101例,非冠心病组46例;超声测量EAT,对各组之间的EAT值进行比较,观察EAT与冠心病之间的关系.结果 冠心病组与非冠心病组EAT值分别为(7.41±1.63)mm和(4.41±1.60)mm,冠心病组的EAT值显著升高(P＜0.01).严重冠状动脉病变组EAT较轻度冠状动脉病变组EAT明显升高[(8.53±1.00)mm对(6.36±1.73)mm,P＜0.01].冠状动脉Gensini评分与EAT呈正相关(r=0.71,P＜0.001).以EAT值≥5.35 mm预测冠心病的敏感性为87.13%,特异件为80.43%,ROC曲线下面积为0.89(95%可信区间0.84-0.95,P=0.01).结论 超声测量心外膜脂肪组织厚度简易无创,可能是一个评价冠心病风险的辅助指标,和冠状动脉病变严重程度显著相关.
目的 評價經超聲測量的心外膜脂肪組織厚度(EAT)和冠狀動脈病變的相關性.方法 147例接受冠狀動脈造影患者,根據造影結果分為冠心病組101例,非冠心病組46例;超聲測量EAT,對各組之間的EAT值進行比較,觀察EAT與冠心病之間的關繫.結果 冠心病組與非冠心病組EAT值分彆為(7.41±1.63)mm和(4.41±1.60)mm,冠心病組的EAT值顯著升高(P＜0.01).嚴重冠狀動脈病變組EAT較輕度冠狀動脈病變組EAT明顯升高[(8.53±1.00)mm對(6.36±1.73)mm,P＜0.01].冠狀動脈Gensini評分與EAT呈正相關(r=0.71,P＜0.001).以EAT值≥5.35 mm預測冠心病的敏感性為87.13%,特異件為80.43%,ROC麯線下麵積為0.89(95%可信區間0.84-0.95,P=0.01).結論 超聲測量心外膜脂肪組織厚度簡易無創,可能是一箇評價冠心病風險的輔助指標,和冠狀動脈病變嚴重程度顯著相關.
목적 평개경초성측량적심외막지방조직후도(EAT)화관상동맥병변적상관성.방법 147례접수관상동맥조영환자,근거조영결과분위관심병조101례,비관심병조46례;초성측량EAT,대각조지간적EAT치진행비교,관찰EAT여관심병지간적관계.결과 관심병조여비관심병조EAT치분별위(7.41±1.63)mm화(4.41±1.60)mm,관심병조적EAT치현저승고(P＜0.01).엄중관상동맥병변조EAT교경도관상동맥병변조EAT명현승고[(8.53±1.00)mm대(6.36±1.73)mm,P＜0.01].관상동맥Gensini평분여EAT정정상관(r=0.71,P＜0.001).이EAT치≥5.35 mm예측관심병적민감성위87.13%,특이건위80.43%,ROC곡선하면적위0.89(95%가신구간0.84-0.95,P=0.01).결론 초성측량심외막지방조직후도간역무창,가능시일개평개관심병풍험적보조지표,화관상동맥병변엄중정도현저상관.
Objective To evaluate the relationship between echocardiographic epicardial adipose tissue thickness(EAT) and the presence and severity of coronary artery disease(CAD). Methods One hundredand forty-seven patients (101 patients with CAD and 46 patients with normal coronary arteries by diagnostic coronary angiography) were enrolled. EAT thickness was measured using 2-D echocardiographic parasternal long-and short-axis views. EAT thickness measurements were compared with angiographic findings. Results EAT was significantly higher in CAD group comparison to control group [(7.41 ± 1.63)mm vs (4.41±1.60) mm, P ＜0.01 ]. Furthermore, EAT increased with the severity of CAD [(8.53 ± 1.00)mm vs (6.36 ±1.73)mm, P ＜0.01]. Gensini's score significantly correlated with EAT (r = 0.71, P ＜0.01 ). EAT thickness ≥5.35 mm had 87.13% sensitivity and 80.42% specificity (ROC area 0. 89, P = 0.01,95% CI [0.84 - 0.9;]) for predicting CAD. Conclusions EAT thickness, which is easily and non-invasively evaluated by transthoracic echocardiography, can be an adjunctive marker to classical risk factors for the prediction of CAD, it was significantly correlated with the severity of coronary artery disease.
