皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2015年
2期
189-192
,共4页
吕雪芬%朱向明%刘骏%叶天舟
呂雪芬%硃嚮明%劉駿%葉天舟
려설분%주향명%류준%협천주
超声心动描记术%冠状动脉疾病%心外膜脂肪组织%左心房
超聲心動描記術%冠狀動脈疾病%心外膜脂肪組織%左心房
초성심동묘기술%관상동맥질병%심외막지방조직%좌심방
echocardiography%coronary artery disease%epicardial adipose tissue%left atrium
目的：评价冠状动脉多支病变患者心外膜脂肪层厚度和左房构型的相关性。方法：根据冠状动脉造影结果选择冠状动脉正常者26例为对照组，冠状动脉3支及3支以上病变组28例；超声心动图测量心外膜脂肪层厚度、左房内径（ LAD）、左房容积（LAV）和左室射血分数（LVEF），用体表面积标化出左房内径指数（LADi）和容积指数（LAVi）。比较两组心外膜脂肪层厚度及左房构型指标的差异，观察冠状动脉多支病变组心外膜脂肪层厚度与左房构型之间相关性。结果：冠状动脉多支病变组与对照组心外膜脂肪层厚度值分别为（8．96±1．62）mm和（3．91±1．14）mm，冠状动脉多支病变组心外膜脂肪层厚度与LAV、LAVi增大（P＜0．05），心外膜脂肪层厚度与LAV、LAVi呈正相关。结论：冠状动脉多支病变组心外膜脂肪层厚度显著增加，并且能够反映左房构型改变的程度。
目的：評價冠狀動脈多支病變患者心外膜脂肪層厚度和左房構型的相關性。方法：根據冠狀動脈造影結果選擇冠狀動脈正常者26例為對照組，冠狀動脈3支及3支以上病變組28例；超聲心動圖測量心外膜脂肪層厚度、左房內徑（ LAD）、左房容積（LAV）和左室射血分數（LVEF），用體錶麵積標化齣左房內徑指數（LADi）和容積指數（LAVi）。比較兩組心外膜脂肪層厚度及左房構型指標的差異，觀察冠狀動脈多支病變組心外膜脂肪層厚度與左房構型之間相關性。結果：冠狀動脈多支病變組與對照組心外膜脂肪層厚度值分彆為（8．96±1．62）mm和（3．91±1．14）mm，冠狀動脈多支病變組心外膜脂肪層厚度與LAV、LAVi增大（P＜0．05），心外膜脂肪層厚度與LAV、LAVi呈正相關。結論：冠狀動脈多支病變組心外膜脂肪層厚度顯著增加，併且能夠反映左房構型改變的程度。
목적：평개관상동맥다지병변환자심외막지방층후도화좌방구형적상관성。방법：근거관상동맥조영결과선택관상동맥정상자26례위대조조，관상동맥3지급3지이상병변조28례；초성심동도측량심외막지방층후도、좌방내경（ LAD）、좌방용적（LAV）화좌실사혈분수（LVEF），용체표면적표화출좌방내경지수（LADi）화용적지수（LAVi）。비교량조심외막지방층후도급좌방구형지표적차이，관찰관상동맥다지병변조심외막지방층후도여좌방구형지간상관성。결과：관상동맥다지병변조여대조조심외막지방층후도치분별위（8．96±1．62）mm화（3．91±1．14）mm，관상동맥다지병변조심외막지방층후도여LAV、LAVi증대（P＜0．05），심외막지방층후도여LAV、LAVi정정상관。결론：관상동맥다지병변조심외막지방층후도현저증가，병차능구반영좌방구형개변적정도。
Objective:To assess the relationship between epicardial adipose tissue thickness and left atrial geometry patterns in patients with multiple coro-nary artery lesions.Methods:Twenty-six patients with normal coronary artery were included as controls and 28 with coronary artery lesions of three or above as lesion group.The epicardial fat thickness,inner diameter of the left atrium(LAD),volume of the left atrium (LAV) and left ventricular ejection fraction (LVEF) were measured with echocardiography.The indices of the diameter and volume in relation to body surface area(BSA) (LADi and LAVi,respec-tively) were calculated.The two groups were compared regarding the parameters measured for determination of the relationship between the qpicardial fat thickiness and left atrial geometry pattern.Results:The thickness of epicardial adipose tissue was (8.96 ±1.62)mm for the lesion group and (3.91 ± 1.14)mm for the controls.The epicardial fat thickness,LAV and LAVi were increased in patients with multiple coronary artery disease(P<0.05),and the fat thickness was positively related to LAV and LAVi.Conclusion:Significantly increased epicardial adipose tissue thickness is seen in patients with multiple coronary artery lesions,and this may be an indicator to reflect the left atrial geometry change .
