中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2014年
9期
737-740
,共4页
李一丹%吕秀章%郭晓娟%吴雅峰%王丽
李一丹%呂秀章%郭曉娟%吳雅峰%王麗
리일단%려수장%곽효연%오아봉%왕려
超声心动描记术%磁共振成像%肺栓塞%心室功能,右
超聲心動描記術%磁共振成像%肺栓塞%心室功能,右
초성심동묘기술%자공진성상%폐전새%심실공능,우
Echocardiography%Magnetic resonance imaging%Pulmonary embolism%Ventricular function,right
目的 应用超声心动图评价慢性血栓栓塞性肺动脉高压患者右心功能,并与心脏磁共振检查结果进行相关性分析,探讨超声评价右心功能指标的临床应用价值.方法 超声测量32例慢性血栓栓塞性肺动脉高压患者三尖瓣环收缩期位移(TAPSE)、右室心肌做功指数(RIMP)、右室面积变化分数(FAC)及三尖瓣环收缩期峰值速度(S').心脏磁共振测量右室舒张末期容积(RVEDV)及右室收缩末期容积(RVESV),计算右室射血分数(RVEF).结果 FAC与RVEF之间呈正相关(r=0.423,P=0.022),RIMP与RVEF之间呈负相关(r=-0.387,P=0.048),TAPSE与RVEF之间不具有相关性(r=0.451,P=0.22),S'与RVEF之间呈正相关(r=0.689,P=0.000).结论 超声心动图评价CTEPH患者右心功能指标FAC、RIMP及S'可作为临床常规测量参数.
目的 應用超聲心動圖評價慢性血栓栓塞性肺動脈高壓患者右心功能,併與心髒磁共振檢查結果進行相關性分析,探討超聲評價右心功能指標的臨床應用價值.方法 超聲測量32例慢性血栓栓塞性肺動脈高壓患者三尖瓣環收縮期位移(TAPSE)、右室心肌做功指數(RIMP)、右室麵積變化分數(FAC)及三尖瓣環收縮期峰值速度(S').心髒磁共振測量右室舒張末期容積(RVEDV)及右室收縮末期容積(RVESV),計算右室射血分數(RVEF).結果 FAC與RVEF之間呈正相關(r=0.423,P=0.022),RIMP與RVEF之間呈負相關(r=-0.387,P=0.048),TAPSE與RVEF之間不具有相關性(r=0.451,P=0.22),S'與RVEF之間呈正相關(r=0.689,P=0.000).結論 超聲心動圖評價CTEPH患者右心功能指標FAC、RIMP及S'可作為臨床常規測量參數.
목적 응용초성심동도평개만성혈전전새성폐동맥고압환자우심공능,병여심장자공진검사결과진행상관성분석,탐토초성평개우심공능지표적림상응용개치.방법 초성측량32례만성혈전전새성폐동맥고압환자삼첨판배수축기위이(TAPSE)、우실심기주공지수(RIMP)、우실면적변화분수(FAC)급삼첨판배수축기봉치속도(S').심장자공진측량우실서장말기용적(RVEDV)급우실수축말기용적(RVESV),계산우실사혈분수(RVEF).결과 FAC여RVEF지간정정상관(r=0.423,P=0.022),RIMP여RVEF지간정부상관(r=-0.387,P=0.048),TAPSE여RVEF지간불구유상관성(r=0.451,P=0.22),S'여RVEF지간정정상관(r=0.689,P=0.000).결론 초성심동도평개CTEPH환자우심공능지표FAC、RIMP급S'가작위림상상규측량삼수.
Objective To evaluate right ventricular function of chronic thromboembolic pulmonary hypertension (CTEPH) patients by echocardiography and cardiac magnetic resonance (CMR),and to evaluate the value of clinical application of those right heart function indexes.Methods 32 patients with CTEPH who underwent CMR and echocardiography were involved in the study.Right ventricular index of myocardial performance (RIMP),fractional area change (FAC),tricuspid annular plane systolic excursion (TAPSE) and tissue Doppler-derived tricuspid lateral annular systolic velocity (S') were measured by echocardiography.Right ventricular end-diastolic volume (RVEDV) and end-systolic volume (RVESV) were measured by cardiac magnetic resonance and right ventricular ejection fraction (RVEF) was calculated.Results A positive correlation was found between FAC and RVEF (r =0.423,P =0.022),there was a negative correlation between RIMP and RVEF (r =-0.387,P =0.048),there was no correlation between TAPSE and RVEF (r =0.451,P =0.22),a positive correlation was found between S' and RVEF (r =0.689,P =0.000).Conclusions The echocardiographic parameters FAC,RIMP and S' can reflect right ventricular function in patients with CTEPH and can be used as a routine clinical parameters.
