CAJ | 학술논문

目的：应用速度矢量成像技术(velocity vector imaging，VVI)技术评价正常人群左室扭转-位移环随年龄增长的变化特点，为临床提供评价左心功能的新方法。方法：98例健康志愿者(18~75岁)按年龄分为3组：第1组年龄≤30岁，34例；第2组年龄31~60岁，36例；第3组年龄≥60岁，28例。使用二维超声心动图采集所有受试者左室心尖和心底短轴切面图，VVI软件脱机分析每一切面的左室扭转运动和短轴位移，测量并计算左室扭转角度峰值(peak twist，Ptw)、最大解旋速度(peak untwist velocity，PutwV)、等容舒张期解旋百分比(the proportion of untwist in isovolumetric relaxation period，Iutw%)、左室径向位移(LV radial displacement，Dis)，构建扭转-位移环，并比较不同年龄组扭转-位移环的特点。结果：Ptw随年龄增加而增大。PutwV在30~60岁组最大。Iutw%在60岁之前随年龄增加逐渐增大，60岁以后随年龄增加而减小；Dis在3组间的差异无明显统计学意义。左室扭转-位移环的特征象一个“8”字形结构，收缩期的扭转和位移呈线性关系，其斜率随年龄增加而逐渐增大。在舒张早期，伴随解旋出现的径向扩张位移相对较小，导致各组的扭转-位移关系曲线较为陡直，舒张中晚期随着扩张径向位移的逐渐增大，扭转-位移环曲线趋向平坦。结论：VVI能有效、无创地评价左室扭转-位移环随年龄的改变，提供左心功能重要信息；使用扭转-位移环评价左心功能时要考虑年龄的影响。
목적：응용속도시량성상기술(velocity vector imaging，VVI)기술평개정상인군좌실뉴전-위이배수년령증장적변화특점，위림상제공평개좌심공능적신방법。방법：98례건강지원자(18~75세)안년령분위3조：제1조년령≤30세，34례；제2조년령31~60세，36례；제3조년령≥60세，28례。사용이유초성심동도채집소유수시자좌실심첨화심저단축절면도，VVI연건탈궤분석매일절면적좌실뉴전운동화단축위이，측량병계산좌실뉴전각도봉치(peak twist，Ptw)、최대해선속도(peak untwist velocity，PutwV)、등용서장기해선백분비(the proportion of untwist in isovolumetric relaxation period，Iutw%)、좌실경향위이(LV radial displacement，Dis)，구건뉴전-위이배，병비교불동년령조뉴전-위이배적특점。결과：Ptw수년령증가이증대。PutwV재30~60세조최대。Iutw%재60세지전수년령증가축점증대，60세이후수년령증가이감소；Dis재3조간적차이무명현통계학의의。좌실뉴전-위이배적특정상일개“8”자형결구，수축기적뉴전화위이정선성관계，기사솔수년령증가이축점증대。재서장조기，반수해선출현적경향확장위이상대교소，도치각조적뉴전-위이관계곡선교위두직，서장중만기수착확장경향위이적축점증대，뉴전-위이배곡선추향평탄。결론：VVI능유효、무창지평개좌실뉴전-위이배수년령적개변，제공좌심공능중요신식；사용뉴전-위이배평개좌심공능시요고필년령적영향。
Objective:To assess effect of age on the characteristic of letf ventricular (LV) twist-displacement loop in health volunteers by velocity vector imaging (VVI) and to provide a new method for LV function evaluation in clinic. <br> Methods:Atfer obtaining basal and apical LV short-axis images in 98 healthy volunteers (18-75 years old) by 2-dimensional echocardiography, we use VVI sotfware to analysis LV twist motion and radial displacement at each plane off-line. hTe peak LV twist (Ptw), the peak untwist velocity (PutwV), the proportion of untwist in isovolumetric relaxation period (Iutw%) and LV radial displacement (Dis) were measured and calculated. Then we constructed LV twist-displacement loop and compared the characteristic of them among different groups. <br> Results:Ptw increased gradually with the increase in age. The biggest PutwV was in the group of 30-60 years old. Iutw%increased gradually before 60 years old, then decreased atfer that. Dis was not obviously different among the three groups. hTe characteristic of LV twist-displacement loop was like the configuration of 8. There was a linear relation between twist and displacement during systole, and the slope increased gradually with the increase in age. During early diastole, the relatively small radial expanding displacement displayed with untwisting, resulting in a much steeper twist-displacement relationship curve occurred in each group, which was getting smooth gradually when the radial expanding displacement increased during mid to late diastole. <br> Conclusions:VVI can be used to effectively and noninvasively assess LV twist-displacement loop with change in age and provide important information for LV function. hTe effect of age must take into account when evaluate the LV function by the twist-displacement loop.