实用器官移植电子杂志
實用器官移植電子雜誌
실용기관이식전자잡지
Practical Journal of Organ Transplantation (Electronic Version)
2015年
2期
108-111
,共4页
超声心动描记术%心功能%Tei指数%肝移植%肝硬化
超聲心動描記術%心功能%Tei指數%肝移植%肝硬化
초성심동묘기술%심공능%Tei지수%간이식%간경화
Enchocardiography%Ventricular function%Tei index%Orthotopic liver transplantation%Liver cirrhosis
目的探讨脉冲多普勒Tei指数评价原位肝移植(OLT)术前肝硬化患者的左心及右心功能的价值。方法选择2014年5月至9月天津市第一中心医院收治的38例OLT术前肝硬化患者作为肝硬化组,27例年龄相匹配的正常人作为正常对照组,两组均行彩色多普勒超声心动图检查,测量左心室射血分数(LVEF)、右心室射血分数(RVEF)、二尖瓣及三尖瓣舒张早期血流峰值(E峰)、舒张晚期血流峰值(A峰),计算并比较E/A比值及Tei指数。结果 OLT术前的肝硬化患者左心室舒张末期内径(LVDd)、左心房收缩末期内径(LADs)、右心室舒张末期内径(RADs)、右心房收缩末期内径(RADd)、LVEF、RVEF、E/A比值与正常对照组比较差异均无统计学意义(均P>0.05);而肝硬化患者左心室Tei指数(0.56±0.12)、右心室的Tei指数(0.46±0.10)均高于正常对照组(分别为0.41±0.07、0.37±0.06),两组比较差异均有统计学意义(均P<0.05)。结论脉冲多普勒Tei指数是评估心功能的一种简便易行的可靠方法,可用于评价OLT术前肝硬化患者的心脏整体收缩和舒张功能,为临床治疗提供指导。
目的探討脈遲多普勒Tei指數評價原位肝移植(OLT)術前肝硬化患者的左心及右心功能的價值。方法選擇2014年5月至9月天津市第一中心醫院收治的38例OLT術前肝硬化患者作為肝硬化組,27例年齡相匹配的正常人作為正常對照組,兩組均行綵色多普勒超聲心動圖檢查,測量左心室射血分數(LVEF)、右心室射血分數(RVEF)、二尖瓣及三尖瓣舒張早期血流峰值(E峰)、舒張晚期血流峰值(A峰),計算併比較E/A比值及Tei指數。結果 OLT術前的肝硬化患者左心室舒張末期內徑(LVDd)、左心房收縮末期內徑(LADs)、右心室舒張末期內徑(RADs)、右心房收縮末期內徑(RADd)、LVEF、RVEF、E/A比值與正常對照組比較差異均無統計學意義(均P>0.05);而肝硬化患者左心室Tei指數(0.56±0.12)、右心室的Tei指數(0.46±0.10)均高于正常對照組(分彆為0.41±0.07、0.37±0.06),兩組比較差異均有統計學意義(均P<0.05)。結論脈遲多普勒Tei指數是評估心功能的一種簡便易行的可靠方法,可用于評價OLT術前肝硬化患者的心髒整體收縮和舒張功能,為臨床治療提供指導。
목적탐토맥충다보륵Tei지수평개원위간이식(OLT)술전간경화환자적좌심급우심공능적개치。방법선택2014년5월지9월천진시제일중심의원수치적38례OLT술전간경화환자작위간경화조,27례년령상필배적정상인작위정상대조조,량조균행채색다보륵초성심동도검사,측량좌심실사혈분수(LVEF)、우심실사혈분수(RVEF)、이첨판급삼첨판서장조기혈류봉치(E봉)、서장만기혈류봉치(A봉),계산병비교E/A비치급Tei지수。결과 OLT술전적간경화환자좌심실서장말기내경(LVDd)、좌심방수축말기내경(LADs)、우심실서장말기내경(RADs)、우심방수축말기내경(RADd)、LVEF、RVEF、E/A비치여정상대조조비교차이균무통계학의의(균P>0.05);이간경화환자좌심실Tei지수(0.56±0.12)、우심실적Tei지수(0.46±0.10)균고우정상대조조(분별위0.41±0.07、0.37±0.06),량조비교차이균유통계학의의(균P<0.05)。결론맥충다보륵Tei지수시평고심공능적일충간편역행적가고방법,가용우평개OLT술전간경화환자적심장정체수축화서장공능,위림상치료제공지도。
ObjectiveTo evaluate the left and right ventricular function by Tei index assessed by pulsed wave doppler imaging in patients with liver cirrhosis before orthotopic liver transplantation(OLT).Methods In Tianjin First Center Hospital,between May2014 and September2014,we choose38 patients with liver cirrhosis before OLT as cirrhosis group,27 healthy controls as control group and let them underwent color doppler echocardiography. The peak filling velocity of E wave and A wave, ejection fraction(EF)of left and right ventricular were measured, E/A and Tei index were calculated and compared.Results There was no significant difference in left ventricular end diastolic diameter(LVDd)、left atrial end systolic diameter(LADs)、right ventricular end diastolic diameter(RVDd)、right atrial end systolic diameter(RADs)、EF of left and right ventricular and E/A(allP>0.05)between cirrhosis group and control group. Tei indices of left and right ventricle in cirrhosis group(0.56±0.12,0.46±0.10) were higher than those of normal control group(0.41±0.07,0.37±0.06) (bothP<0.05).Conclusion Tei index assessed by pulsed wave Doppler imaging is a good way to evaluate the global heart function. It can be used to evaluate the patients with liver cirrhosis before OLT and provide guidance for clinical treatment.