中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2015年
3期
191-195
,共5页
李一丹%吕秀章%吴雅峰%郭晓娟%王怡丹
李一丹%呂秀章%吳雅峰%郭曉娟%王怡丹
리일단%려수장%오아봉%곽효연%왕이단
超声心动描记术,实时三维%高血压,肺性%心室功能,右
超聲心動描記術,實時三維%高血壓,肺性%心室功能,右
초성심동묘기술,실시삼유%고혈압,폐성%심실공능,우
Echocardiography,real-time three-dimensional%Hypertension,pulmonary%Ventricular function,right
目的 应用实时三维超声心动图(RT-3DE)测量肺动脉高压(PH)患者右心室收缩功能,并与心脏磁共振测值作比较,评价RT-3DE测量右心室收缩功能的准确性.方法 PH患者23例,常规超声测量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(RVFAC)及三尖瓣环收缩期峰值速度(S').RT-3DE测量右室舒张末期容积(RVEDV)、右室收缩末期容积(RVESV),得出右室射血分数(RVEF).心脏磁共振测量右室舒张末期容积(MRI-RVEDV)及右室收缩末期容积(MRI-RVESV),计算右室射血分数(MRI-RVEF).结果 RT-3DE测量的RVEF与RVFAC呈显著正相关(r=0.595,P=0.003);RVEF与RIMP呈显著负相关(r=-0.745,P=0.000),RVEF与TAPSE不具有相关性(r=-0.029,P=0.896),RVEF与S'呈正相关(r=0.489,P=0.018).RT-3DE与心脏磁共振测量的RVEDV、RVESV及RVEF相关性好(均P<0.001);Bland-Altman图分析显示两种方法测量的RVEDV、RVESV及RVEF之间一致性良好.结论 实时三维超声心动图能够无创、准确地评价肺动脉高压患者右室收缩功能,为临床评估PH患者预后及选择治疗方案提供依据.
目的 應用實時三維超聲心動圖(RT-3DE)測量肺動脈高壓(PH)患者右心室收縮功能,併與心髒磁共振測值作比較,評價RT-3DE測量右心室收縮功能的準確性.方法 PH患者23例,常規超聲測量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(RVFAC)及三尖瓣環收縮期峰值速度(S').RT-3DE測量右室舒張末期容積(RVEDV)、右室收縮末期容積(RVESV),得齣右室射血分數(RVEF).心髒磁共振測量右室舒張末期容積(MRI-RVEDV)及右室收縮末期容積(MRI-RVESV),計算右室射血分數(MRI-RVEF).結果 RT-3DE測量的RVEF與RVFAC呈顯著正相關(r=0.595,P=0.003);RVEF與RIMP呈顯著負相關(r=-0.745,P=0.000),RVEF與TAPSE不具有相關性(r=-0.029,P=0.896),RVEF與S'呈正相關(r=0.489,P=0.018).RT-3DE與心髒磁共振測量的RVEDV、RVESV及RVEF相關性好(均P<0.001);Bland-Altman圖分析顯示兩種方法測量的RVEDV、RVESV及RVEF之間一緻性良好.結論 實時三維超聲心動圖能夠無創、準確地評價肺動脈高壓患者右室收縮功能,為臨床評估PH患者預後及選擇治療方案提供依據.
목적 응용실시삼유초성심동도(RT-3DE)측량폐동맥고압(PH)환자우심실수축공능,병여심장자공진측치작비교,평개RT-3DE측량우심실수축공능적준학성.방법 PH환자23례,상규초성측량삼첨판배수축기위이(TAPSE)、우실심기주공지수(RIMP)、우실면적변화분수(RVFAC)급삼첨판배수축기봉치속도(S').RT-3DE측량우실서장말기용적(RVEDV)、우실수축말기용적(RVESV),득출우실사혈분수(RVEF).심장자공진측량우실서장말기용적(MRI-RVEDV)급우실수축말기용적(MRI-RVESV),계산우실사혈분수(MRI-RVEF).결과 RT-3DE측량적RVEF여RVFAC정현저정상관(r=0.595,P=0.003);RVEF여RIMP정현저부상관(r=-0.745,P=0.000),RVEF여TAPSE불구유상관성(r=-0.029,P=0.896),RVEF여S'정정상관(r=0.489,P=0.018).RT-3DE여심장자공진측량적RVEDV、RVESV급RVEF상관성호(균P<0.001);Bland-Altman도분석현시량충방법측량적RVEDV、RVESV급RVEF지간일치성량호.결론 실시삼유초성심동도능구무창、준학지평개폐동맥고압환자우실수축공능,위림상평고PH환자예후급선택치료방안제공의거.
Objective To evaluate right ventricular systolic function in patients with pulmonary hypertension (PH) by real-time three-dimensional echocardiography (RT-3DE),and compared with cardiac magnetic resonance.Methods A total of 23 patients with PH who underwent MRI and echocardiography in the study.Right ventricular index of myocardial performance (RIMP),fractional area change (RVFAC),tricuspid annular plane systolic excursion (TAPSE) and tissue Doppler-derived tricuspid lateral annular systolic velocity (S') were measured by echocardiography.RV end-diastolic volume (RVEDV) and endsystolic volume (RVESV) were measured by RT-3DE and cardiac magnetic resonance and RV ejection fraction (RVEF) was calculated.Results A positive correlation was found between RVFAC and RVEF (r =0.595,P =0.003),there was a negative correlation between RIMP and RVEF (r =-0.745,P =0.000),has no correlation between TAPSE and RVEF (r =-0.029,P =0.896),a positive correlation was found between S' and RVEF (r =0.489,P =0.018).There were close correlation between RVEDV,RVESV and RVEF measured by RT-3DE and MRI (P <0.001,respectively);Bland-Altman analyses showed good agreement between them.Conclusions RT-3DE can noninvasive,accurate assessment right ventricular systolic function in patients with PH,and provide prognosis and treatment choice for clinical demands.