解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2015年
11期
1081-1084,1092
,共5页
多层螺旋CT%冠状动脉%心外膜脂肪%左心功能
多層螺鏇CT%冠狀動脈%心外膜脂肪%左心功能
다층라선CT%관상동맥%심외막지방%좌심공능
multi-slice spiral CT%coronary artery%epicardial adipose tissue%left ventricular function
目的：应用多层螺旋CT(multi-slice spiral CT，MSCT)分析冠心病患者心外膜脂肪体积与左心室功能的关系。方法收集2014年12月-2015年5月就诊于本院疑似冠心病行冠状动脉CTA检查患者65例，获得左心功能各参数：左心室收缩末期体积(end systolic volume，ESV)、舒张末期体积(end diastolic volume，EDV)、每搏输出量(stroke volume，SV)、射血分数(ejection fraction，EF)、每分输出量(cardiac output，CO)和心肌质量(myocardial mass，MM)；并测量心外膜脂肪(epicardial adipose tissue，EAT)体积。结果 EAT体积和GS积分呈正相关(r=0.555)，轻度和中度病变组间差异无统计学意义，其余任意两组间差异有统计学意义，且GS积分越高，EAT体积越大；GS积分与ESV、EDV、MM呈正相关(r值分别为0.45、0.37、0.44)，与EF呈负相关(r=0.33)，与SV、CO无明显相关性；EAT与ESV、EDV、MM呈正相关(r值分别为0.26、0.26、0.29)，与SV、EF、CO无明显相关性。结论 MSCT能够分析冠心病EAT体积及与左心室功能的关系，为早期诊治冠心病提供参考。
目的：應用多層螺鏇CT(multi-slice spiral CT，MSCT)分析冠心病患者心外膜脂肪體積與左心室功能的關繫。方法收集2014年12月-2015年5月就診于本院疑似冠心病行冠狀動脈CTA檢查患者65例，穫得左心功能各參數：左心室收縮末期體積(end systolic volume，ESV)、舒張末期體積(end diastolic volume，EDV)、每搏輸齣量(stroke volume，SV)、射血分數(ejection fraction，EF)、每分輸齣量(cardiac output，CO)和心肌質量(myocardial mass，MM)；併測量心外膜脂肪(epicardial adipose tissue，EAT)體積。結果 EAT體積和GS積分呈正相關(r=0.555)，輕度和中度病變組間差異無統計學意義，其餘任意兩組間差異有統計學意義，且GS積分越高，EAT體積越大；GS積分與ESV、EDV、MM呈正相關(r值分彆為0.45、0.37、0.44)，與EF呈負相關(r=0.33)，與SV、CO無明顯相關性；EAT與ESV、EDV、MM呈正相關(r值分彆為0.26、0.26、0.29)，與SV、EF、CO無明顯相關性。結論 MSCT能夠分析冠心病EAT體積及與左心室功能的關繫，為早期診治冠心病提供參攷。
목적：응용다층라선CT(multi-slice spiral CT，MSCT)분석관심병환자심외막지방체적여좌심실공능적관계。방법수집2014년12월-2015년5월취진우본원의사관심병행관상동맥CTA검사환자65례，획득좌심공능각삼수：좌심실수축말기체적(end systolic volume，ESV)、서장말기체적(end diastolic volume，EDV)、매박수출량(stroke volume，SV)、사혈분수(ejection fraction，EF)、매분수출량(cardiac output，CO)화심기질량(myocardial mass，MM)；병측량심외막지방(epicardial adipose tissue，EAT)체적。결과 EAT체적화GS적분정정상관(r=0.555)，경도화중도병변조간차이무통계학의의，기여임의량조간차이유통계학의의，차GS적분월고，EAT체적월대；GS적분여ESV、EDV、MM정정상관(r치분별위0.45、0.37、0.44)，여EF정부상관(r=0.33)，여SV、CO무명현상관성；EAT여ESV、EDV、MM정정상관(r치분별위0.26、0.26、0.29)，여SV、EF、CO무명현상관성。결론 MSCT능구분석관심병EAT체적급여좌심실공능적관계，위조기진치관심병제공삼고。
Objective To analyze the relationship between epicardial adipose tissue and left ventricular function by multi-slice spiral CT (MSCT) in coronary heart disease patients.Methods Sixty-five cases with suspected coronary disease were given CTA inspection in our hospital from December 2014 to May 2015. As the inclusion criteria, left ventricular function parameter values of 65 patients were measured, including end systolic volume (ESV), end diastolic volume (EDV), stroke volume (SV), ejection fraction (EF), cardiac output (CO) and myocardial mass (MM). EAT volume were detected by GEAW 4.5 workstation.Results EAT volume and GS score had positive correlation (r=0.555). There were significant differences between two groups excluding mild and moderate stenosis. GS score was positively correlated withESV, EDV, MM (r=0.45, 0.37, 0.44), and it was negatively correlated with EF (r=0.33), but it had no significant correlation with SV and CO. EAT volume was positively correlated with ESV, EDV, MM (r=0.26, 0.26, 0.29), but it had no significant correlation with SV, EF and CO.Conclusion MSCT can measure EAT volume and analyze its correlation with left ventricular function, which provides new references for early diagnosis and treatment of coronary heart disease.
