超声二维斑点追踪技术在二尖瓣反流患者左心室纵向收缩功能评价中的应用被引量：3

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摘要目的利用二维斑点追踪技术(2DSTI)评价单纯性二尖瓣反流患者(MR)左心室纵向收缩功能的改变。方法选取MR患者60例,其中中度32例(中度MR组)、重度28例(重度MR组),健康志愿者30例为对照组。采集各组心尖左心室长轴切面(LAX)、心尖四腔心切面(4C)和心尖两腔心切面(2C)的二维动态图像,采用二维应变自动功能成像获取左心室6个心室壁共18个心肌节段收缩期峰值应变(LC)、左心室3个心尖切面的峰值收缩总应变(GLS)及左心室收缩期纵向平均总应变(GLS-Arg)。结果各组LAX-GLS、4C-GLS、2C-GLS、GLS-Avg比较,重度MR组<中度MR组<对照组,P均<0.01。重度MR组及中度MR组前壁LS与对照组比较应变值降低(P均<0.01);各组除前壁外的5个室壁LS比较,重度MR组<中度MR组<对照组,P均<0.05。结论 2DSTI能通过测得MR患者左心室纵向应变的减低早期识别左心室收缩功能的受损。

作者马洪振陈东风王少春徐华

机构地区天津医科大学研究生院济宁医学院附属医院

出处《山东医药》 CAS 北大核心 2015年第8期41-43,共3页 Shandong Medical Journal

关键词超声斑点追踪技术二尖瓣反流左心室功能

分类号 R445.1 [医药卫生—影像医学与核医学] R542.5 [医药卫生—诊断学]

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1Luszczak Joanna,Olszowska Maria,Drapisz Sylwia,Plazak Wojciech,Karch Izabela,Komar Monika,Goralczyk Tadeusz,Podolec Piotr.Assessment of left ventricle function in patients with symptomatic and asymptomatic aortic stenosis by 2-dimensional speckle-tracking imaging. Medical science monitor : international medical journal of experimental and clinical research . 2012 被引量：1
2Nobuyuki Ohte,Hitomi Narita,Takeshi Hashimoto,Sachie Akita,Kazuyuki Kurokawa,Takao Fujinami.Evaluation of left ventricular early diastolic performance by color tissue Doppler imaging of the mitral annulus[J]. The American Journal of Cardiology . 1998 (11) 被引量：1
3Intramyocardial analysis of regional systolic and diastolic function in ischemic heart disease with Doppler tissue imaging: Role of the different myocardial layers[J]. Journal of the American Society of Echocardiography . 2002 (2) 被引量：1
4Goo-Yeong Cho,Jonathan Chan,Rodel Leano,Mark Strudwick,Thomas H. Marwick.Comparison of Two-Dimensional Speckle and Tissue Velocity Based Strain and Validation With Harmonic Phase Magnetic Resonance Imaging[J]. The American Journal of Cardiology . 2006 (11) 被引量：1
5Vuyisile T Nkomo,Julius M Gardin,Thomas N Skelton,John S Gottdiener,Christopher G Scott,Maurice Enriquez-Sarano.Burden of valvular heart diseases: a population-based study[J]. The Lancet . 2006 (9540) 被引量：1
6Olsen EGJ.The pathology of the heart. . 1980 被引量：1
7王亚非,于春艳,张鲁春,罗伟民.超声二维应变成像技术在冠心病患者中的应用[J].山东医药,2010,50(43):79-80. 被引量：4
8尹洪宁,王建华.二尖瓣反流患者的右心室功能评价进展[J].中华医学超声杂志（电子版）,2011,8(2):86-88. 被引量：1
9陈灏珠..实用内科学下第10版[M].北京:人民卫生出版社,2000:1312.
10王晨阳,黎春雷,刘红云,金丹,邓又斌.二维斑点追踪技术对主动脉瓣反流患者左心室功能的评价[J].中华医学超声杂志（电子版）,2013,10(9):726-730. 被引量：5

二级参考文献36

1孟庆国,尹立雪,李春梅,左明良,罗安果.超声斑点成像技术评价左心室长轴心肌节段应变与位移[J].中华超声影像学杂志,2006,15(10):721-724. 被引量：26
2Langeland S,D′hooge J,Wouters PF,et al.Experimental validation of a new uitrasound.methond for the simultancous assessment of radial and longitudinal myocardial deformation independent angle[J].Circulation,2005,112(5):2157-2162. 被引量：1
3Cho GY,Chan J,Leano R,et al.Comparison of two-dimensional specke and tissue velocity based strain and validation with harmonic phase magnetic resonance[J].Am J Cardiol,2006,97(8):1661-1666. 被引量：1
4Amundsen BH,Helle-Valle T,Edvardsen T,et al.Noninvasive myocardial strain measurement by speckle tracking echocardiograph validation against sonomicrometry and tagged magnetic resonance imaging[J].J Am Coll Cardiol,2006,47(2):789-793. 被引量：1
5郭薇,欧宓,王春.超声的二维径向应变显像对心肌缺血的研究[J].中国超声医学杂志,2007,23(11):833-835. 被引量：7
6Shields JP,Watson P,Mielke C.The right ventricle in mitral regurgitation:Evaluation by electron beam tomography. Journal of Heart Valve Disease . 1995 被引量：1
7Chrustowicz A,Gackowski A,El-Massri N,et al.Preoperative right ventricular function in patients with organic mitral regurgita-tion. Echocardiography . 2010 被引量：1
8Gopal AS,Chukwu EO,Iwuchukwu CF,et al.Normal values of right ventricular size and function by real-time three-dimensional echocardiography:comparison to cardiac magnetic resonance imaging. Journal of the American Society of Echocardiography . 2007 被引量：1
9Hochreiter C,Niles N,Devereux RB,et al.Mitral regurgitation:relationship of noninvasive descriptors of right and left ventricu-lar performance to clinical and hemodynamic findings and to prognosis in medically and surgically treated patients. Circulation . 1986 被引量：1
10Borer JS,Hochreiter C,Rosen S.Right ventricular function in severe non-ischaemic mitral insufficiency. European Heart Journal . 1991 被引量：1