CAJ | 학술논문

目的探讨川崎病(Kawasaki disease,KD)患儿冠状动脉损害与左室扭转值的相关性.方法应用常规超声追踪观察KD患儿的冠状动脉病变情况,将KD患儿分为冠状动脉损害组与无冠状动脉损害组,应用二维斑点追踪显像技术,获得早期KD患儿组及对照组左室扭转值并进行分析对比.结果观察组与对照组左室扭转值比较,左室扭转值显著下降,内膜旋转峰值、外膜旋转峰值、平面旋转峰值、跨壁扭转峰值的F值分别为75.56、14.52、37.97、29.80,差异有统计学意义(P＜0.01);无冠状动脉损害组与冠状动脉损害组比较,左室扭转值显著下降,差异有统计学意义(P＜0.05).结论 KD早期左室扭转值下降可作为早期诊断冠状动脉损害的指标之一.
목적 탐토천기병(Kawasaki disease,KD)환인관상동맥손해여좌실뉴전치적상관성.방법 응용상규초성추종관찰KD환인적관상동맥병변정황,장KD환인분위관상동맥손해조여무관상동맥손해조,응용이유반점추종현상기술,획득조기KD환인조급대조조좌실뉴전치병진행분석대비.결과 관찰조여대조조좌실뉴전치비교,좌실뉴전치현저하강,내막선전봉치、외막선전봉치、평면선전봉치、과벽뉴전봉치적F치분별위75.56、14.52、37.97、29.80,차이유통계학의의(P＜0.01);무관상동맥손해조여관상동맥손해조비교,좌실뉴전치현저하강,차이유통계학의의(P＜0.05).결론 KD조기좌실뉴전치하강가작위조기진단관상동맥손해적지표지일.
Objective To investigate the correlation between coronary artery lesion and left ventricular torsion of Kawasaki disease in children.Methods The lesions of coronary artery were observed by normal ultrasound at early stage.The children suffering from Kawasaki disease were divided into coronary artery lesion group and non-coronary lesion group.The left ventricular torsion of disease group and control group were contrasted by 2-dimension ultrasound speckle tracing imaging.Results The left ventricular torsion of disease group was lower than that of control group,the F values of peak subendocardial totation,peak epicardial rotation,bulk rotation and peak mural torsion were 75.56,14.52,37.97 and 29.80 respectively,the difference had statistical significance (P ＜ 0.01).The left ventricular torsion of non-coronary lesion group was lower than that of coronary artery lesion group,the F values of peak subendocardial totation and the peak epicardial rotation were 51.99,11.56,the difference had statistical significance (P ＜ 0.01); The F values of bulk rotation,peak mural torsion were 23.39 and 18.17,the difference had statistical significance (P ＜ 0.05).Conclusion The decline of left ventricular torsion is one of the sensitive indexes in early diagnosis of coronary artery lesion in Kawasaki disease.