实用医技杂志
實用醫技雜誌
실용의기잡지
JOURNAL OF PRACTICAL MEDICAL TECHNIQUES
2015年
8期
804-806
,共3页
方少兵%陈明%相广财
方少兵%陳明%相廣財
방소병%진명%상엄재
肺动脉%心脏病%超声心动描记术%心室功能,右
肺動脈%心髒病%超聲心動描記術%心室功能,右
폐동맥%심장병%초성심동묘기술%심실공능,우
Pulmonary artery%Heart diseases%Congenital heart disease%Ventricular function,right
目的:探讨经胸超声心动图(TTE)对先天性心脏病室间隔缺损(VSD)合并重度肺动脉高压(PH)患者肺动脉压及右心功能的临床价值。方法选择先天性心脏病VSD合并PH的患者21例,同期选择20名无心肺疾病者作正常对照,进行完整的超声心动图检查,并记录结果,并与心导管测量的结果进行对比,探讨TTE在先心病患者的肺动脉压力测定及右心功能评估中的价值。结果 VSD合并PH组与正常对照组的三尖瓣环平面收缩期位移(TAPSE)、三尖瓣侧瓣环运动速度(TVlat)、右心室面积变化分数(RVFAC)等参数差异具有统计学意义;TTE所测结果与右心导管测量值存在正相关。结论超声心动图在先天性心脏病合并PH患者的右心功能及肺动脉压评价方面具有重要价值。
目的:探討經胸超聲心動圖(TTE)對先天性心髒病室間隔缺損(VSD)閤併重度肺動脈高壓(PH)患者肺動脈壓及右心功能的臨床價值。方法選擇先天性心髒病VSD閤併PH的患者21例,同期選擇20名無心肺疾病者作正常對照,進行完整的超聲心動圖檢查,併記錄結果,併與心導管測量的結果進行對比,探討TTE在先心病患者的肺動脈壓力測定及右心功能評估中的價值。結果 VSD閤併PH組與正常對照組的三尖瓣環平麵收縮期位移(TAPSE)、三尖瓣側瓣環運動速度(TVlat)、右心室麵積變化分數(RVFAC)等參數差異具有統計學意義;TTE所測結果與右心導管測量值存在正相關。結論超聲心動圖在先天性心髒病閤併PH患者的右心功能及肺動脈壓評價方麵具有重要價值。
목적:탐토경흉초성심동도(TTE)대선천성심장병실간격결손(VSD)합병중도폐동맥고압(PH)환자폐동맥압급우심공능적림상개치。방법선택선천성심장병VSD합병PH적환자21례,동기선택20명무심폐질병자작정상대조,진행완정적초성심동도검사,병기록결과,병여심도관측량적결과진행대비,탐토TTE재선심병환자적폐동맥압력측정급우심공능평고중적개치。결과 VSD합병PH조여정상대조조적삼첨판배평면수축기위이(TAPSE)、삼첨판측판배운동속도(TVlat)、우심실면적변화분수(RVFAC)등삼수차이구유통계학의의;TTE소측결과여우심도관측량치존재정상관。결론초성심동도재선천성심장병합병PH환자적우심공능급폐동맥압평개방면구유중요개치。
Objective To evaluate the value of echocardiographic measurements for reflecting right ventricular (RV) function in congenital heart disease patients with pulmonary hypertension (PH). Methods Twenty-one patients with congenital ventricular septal defect (VSD) with different PH levels were included in this study. Select 20 cases with-out cardiopulmonary diseases as normal control. Conduct a complete echocardiography , record the results, and compared them with cardiac catheterization measurement results. To explore the value of TTE in determination of pulmonary artery pressure and right ventricular dysfunction in congenital heart disease. Results The VSD combined pulmonary hyperten-sion group compared with normal control group, TAPSE, TVlat, RVFAC parameters such as difference is statistically significant;The results between TTE measured and the right cardiac catheterization are positively correlated. Conclusion Echocardiography can noninvasive assessment of right heart function and pulmonary artery pressure in the patients combined congenital heart disease with pulmonary hypertension.