摘要
目的比较多层螺旋CT(MSCT)与超声心动图对慢性阻塞性肺疾病(COPD)患者右心功能的评估价值。方法回顾性分析本院2017年8月至2019年3月收治的COPD患者82例,按照肺功能分级标准,分为轻度组24例,中度组32例,重度组26例,所有患者均先后进行超声心动图、MSCT检查,比较MSCT与超声心动图对COPD患者右心功能指标舒张末期容积(RVEDV)、收缩末期容积(RVESV)、右室每搏输出量(RVSV)、右心室射血分数(RVEF)的评估差异。结果MSCT与超声心动图测定轻度COPD患者右心功能RVEDV、RVESV、RVSV、RVEF指标高于中度和重度患者,中度患者右心功能指标高于重度患者(P<0.05);MSCT与超声心动图右心室功能参数测定结果比较(P>0.05);MSCT与超声心动图测量右心室功能参数RVEDV、RVESV、RVSV、RVEF呈现正相关(r=0.876、0.911、0.843、0.862,P<0.05)。结论MSCT与超声心动图在评估COPD患者右心功能指标方面具有很高的相关性,MSCT能够准确、快速为临床提供COPD患者右心功能信息。
Objective To compare evaluation value of multi-slice spiral CT(MSCT)and echocardiogram(ECG)in right cardiac function of patients with chronic obstructive pulmonary disease(COPD).Methods A retrospective analysis was performed on 82 COPD patients who were admitted to the hospital from August 2017 to March 2019.According to classification criteria of lung function,they were divided into mild group(24 cases),moderate group(32 cases)and severe group(26 cases).All patients underwent ECG and MSCT.The evaluation differences between MSCT and ECG for right cardiac function indexes[right ventricular end-diastolic volume(RVEDV),right ventricular end-systolic volume(RVESV),right ventricular stroke volume(RVSV),right ventricular ventricle ejection fraction(RVEF)]in COPD patients were compared.Results MSCT and ECG showed that right cardiac function indexes[RVEDV,RVESV,RVSV,RVEF]in patients with mild COPD were higher than those with moderate and severe COPD.The right cardiac function indexes in moderate COPD patients were higher than those in severe COPD patients(P<0.05).MSCT and ECG showed that there was no significant difference in right ventricular function parameters(P>0.05).MSCT and ECG showed that there was positive correlation among right ventricular function parameters[RVEDV,RVESV,RVSV,RVEF](r=0.876,0.911,0.843,0.862,P<0.05).Conclusion MSCT and ECG are of high correlation in evaluating right cardiac function indexes of COPD patients.MSCT can accurately and rapidly provide right cardiac function information for COPD patients.
作者
朱进
黄胜
陈均
张海健
陶晓亮
ZHU Jin;HUANG Sheng;CHEN Jun;ZHANG Hai-jian;TAO Xiao-liang(Department of Imaging,the Sixth People's Hospital of Nantong,Nantong 226000,Jiangsu Province,China;Department of Imaging,the First People's Hospital of Nantong,Nantong 226000,Jiangsu Province,China;Ultrasound room,the Sixth People's Hospital of Nantong,Nantong 226000,Jiangsu Province,China)
出处
《中国CT和MRI杂志》
2021年第12期39-41,共3页
Chinese Journal of CT and MRI
关键词
慢性阻塞性肺疾病
多层螺旋CT
超声心动图
右心功能
Chronic Obstructive Pulmonary Disease
Multi-slice Spiral CT
Echocardiogram
Right Cardiac Function
