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
8期
648-651
,共4页
王怡丹%李一丹%吕秀章%吴雅峰%王丽%朱维维
王怡丹%李一丹%呂秀章%吳雅峰%王麗%硃維維
왕이단%리일단%려수장%오아봉%왕려%주유유
超声心动描记术%肺栓塞%高血压,肺性%心室功能,右
超聲心動描記術%肺栓塞%高血壓,肺性%心室功能,右
초성심동묘기술%폐전새%고혈압,폐성%심실공능,우
Echocardiography%Pulmonary embolism%Hypertension,pulmonary%Ventricular function,right
目的:探讨经胸超声心动图评价慢性血栓栓塞性肺动脉高压(CTEPH)患者肺动脉压力与右心功能的相关性以及不同程度肺动脉压力下右室功能改变情况。方法 CTEPH 患者137例,以肺动脉收缩压(PASP)升高程度分为4组,组Ⅰ,50 mmHg≤PASP<70 mmHg,20例;组Ⅱ,70 mmHg≤PASP<90 mmHg,35例;组Ⅲ,90 mmHg≤PASP<110 mmHg,55例;组Ⅳ,≥110 mmHg,27例。超声心动图测量参数包括:PASP、三尖瓣反流面积(ATR )、左室横径(LVTD)、右室横径(RVTD)、肺动脉主干内径(DMPA )、左肺动脉内径(DLPA )及右肺动脉内径(DRPA );右室功能参数包括:三尖瓣环收缩期峰值速度(s')、三尖瓣环收缩期位移(TAPSE)、右室心肌做功指数(RIMP)及右室面积变化分数(FAC)。结果肺动脉压力升高程度不同,CTEPH 患者 RVTD、TAPSE、FAC 及 RIMP 差异均有统计学意义(均 P <0.05)。CTEPH 患者右室结构、功能与 PASP 显著相关,并且随着肺动脉压力的升高,右室扩大显著,右室功能受损。结论超声心动图有助于评估 CTEPH 患者右心功能改变情况,为临床治疗及预后评估提供依据。
目的:探討經胸超聲心動圖評價慢性血栓栓塞性肺動脈高壓(CTEPH)患者肺動脈壓力與右心功能的相關性以及不同程度肺動脈壓力下右室功能改變情況。方法 CTEPH 患者137例,以肺動脈收縮壓(PASP)升高程度分為4組,組Ⅰ,50 mmHg≤PASP<70 mmHg,20例;組Ⅱ,70 mmHg≤PASP<90 mmHg,35例;組Ⅲ,90 mmHg≤PASP<110 mmHg,55例;組Ⅳ,≥110 mmHg,27例。超聲心動圖測量參數包括:PASP、三尖瓣反流麵積(ATR )、左室橫徑(LVTD)、右室橫徑(RVTD)、肺動脈主榦內徑(DMPA )、左肺動脈內徑(DLPA )及右肺動脈內徑(DRPA );右室功能參數包括:三尖瓣環收縮期峰值速度(s')、三尖瓣環收縮期位移(TAPSE)、右室心肌做功指數(RIMP)及右室麵積變化分數(FAC)。結果肺動脈壓力升高程度不同,CTEPH 患者 RVTD、TAPSE、FAC 及 RIMP 差異均有統計學意義(均 P <0.05)。CTEPH 患者右室結構、功能與 PASP 顯著相關,併且隨著肺動脈壓力的升高,右室擴大顯著,右室功能受損。結論超聲心動圖有助于評估 CTEPH 患者右心功能改變情況,為臨床治療及預後評估提供依據。
목적:탐토경흉초성심동도평개만성혈전전새성폐동맥고압(CTEPH)환자폐동맥압력여우심공능적상관성이급불동정도폐동맥압력하우실공능개변정황。방법 CTEPH 환자137례,이폐동맥수축압(PASP)승고정도분위4조,조Ⅰ,50 mmHg≤PASP<70 mmHg,20례;조Ⅱ,70 mmHg≤PASP<90 mmHg,35례;조Ⅲ,90 mmHg≤PASP<110 mmHg,55례;조Ⅳ,≥110 mmHg,27례。초성심동도측량삼수포괄:PASP、삼첨판반류면적(ATR )、좌실횡경(LVTD)、우실횡경(RVTD)、폐동맥주간내경(DMPA )、좌폐동맥내경(DLPA )급우폐동맥내경(DRPA );우실공능삼수포괄:삼첨판배수축기봉치속도(s')、삼첨판배수축기위이(TAPSE)、우실심기주공지수(RIMP)급우실면적변화분수(FAC)。결과폐동맥압력승고정도불동,CTEPH 환자 RVTD、TAPSE、FAC 급 RIMP 차이균유통계학의의(균 P <0.05)。CTEPH 환자우실결구、공능여 PASP 현저상관,병차수착폐동맥압력적승고,우실확대현저,우실공능수손。결론초성심동도유조우평고 CTEPH 환자우심공능개변정황,위림상치료급예후평고제공의거。
Objective To discuss the correlation between right ventricular function and systolic pulmonary artery pressure (PASP ) in patients with chronic thromboembolic pulmonary hypertension (CTEPH)and explore the change of right ventricular function under different degree of PASP.Methods One hundred and thirty-seven CTEPH patients were divided into four groups by PASP:Group Ⅰ (50 mmHg≤PASP<70 mmHg),20 cases;Group Ⅱ (70 mmHg≤PASP<90 mmHg),35 cases;Group Ⅲ,55 cases (90 mmHg ≤ PASP < 1 10 mmHg);Group Ⅳ (PASP ≥ 1 10 mmHg),27 cases.Echocardiographic parameters include:PASP,tricuspid regurgitation area (ATR ),left ventricular transverse diameter (LVTD), right ventricular transverse diameter (RVTD),inner diameter of main pulmonary artery (DMPA ),inner diameter of left arterial branch (DLPA ),inner diameter of right pulmonary arterial branch (DRPA ).Right ventricular function parameters include:tissue Doppler-derived tricuspid lateral annular systolic velocity (s'),tricuspid annular plane systolic excursion (TAPSE),RV index of myocardial performance (RIMP)and right ventricular fractional area change (FAC).Results There were significant differences in RVTD, TAPSE,FAC and RIMP in CTEPH patients under different PASP(P <0.05).RV structure and function was significantly correlated with PASP in CTEPH patients.With the elevation of PASP,RV was significantly enlarged and RV function becomes worse.Conclusions Echocardiography may contribute to evaluate RV function in CTEPH patients and provide basis for clinical treatment and prognosis evaluation.