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投稿时间：2019-10-09 网络发布日期：2020-06-20
投稿时间：2019-10-09 网络发布日期：2020-06-20
中文摘要: 目的 分析全容积三维超声心动图（FV-3DE）诊断冠心病患者心脏局部容积和心脏功能的应用效果。方法 回顾性随机选择2016年4月至2019年1月行支架植入的冠心病患者70例为观察组,选择同期在超声科检查心脏结构功能正常的健康体检者70例为对照组。记录并比较观察组在植入支架前3～7 d与术后1个月内以及对照组的三维超声电动图的舒张末期容积（REDV）、局部舒张末期容积（RESV）、局部射血分数（REF）指标水平,以及左心室17节段REF指标。结果 观察组的REF显著低于对照组(P<0.01),而RESV、REDV显著高于对照组(P<0.01)。术后,观察组的REF显著高于术前(P<0.01),而RESV、REDV显著低于术前(P<0.01)。术前,观察组的左室17节段REF指标(除心尖帽、心尖段前间隔、中段室间隔、中段侧壁)均显著低于对照组(P<0.05);术后,观察组的左室17节段REF指标(除心尖帽、心尖段前间隔、中段室间隔、中段后壁、中段侧壁、基底段室间隔、基底段侧壁)均显著高于术前(P<0.05),同时观察组的左室17节段REF指标(除心尖帽、心尖段前间隔、中段室间隔、中段侧壁)均显著低于对照组(P<0.05)。结论 FV-3DE技术可以较好的评估冠心病患者的心脏局部容积和心脏功能,反馈患者的心脏结构形态变化,评估患者病情。
Abstract:Objecitve To analyze the application effect of full volume three-dimensional echocardiography in the diagnosis of local volume and cardiac function in patients with coronary heart disease. Methods A total of 70 patients with coronary heart disease who underwent stent implantation from April 2016 to January 2019 were randomly selected as the observation group, and 70 healthy people with normal cardiac structure and function who received echocardiography at the same time were selected as the control group.The levels of regional end-diastolic volume (REDV), regional end-systolic volume (RESV), regional ejection fraction (REF) and 17 segments REF of left ventricle were recorded and compared in the observation group 3-7 days before stent implantation and 1 month after stent implantation and in the control group. Results The REF of the observation group was significantly lower than that of the control group (P<0.01), while the RESV and REDV of the observation group were significantly higher than that of the control group (P<0.01).After operation, REF in the observation group was significantly higher than that before operation (P<0.01), while RESV and REDV were significantly lower than that before operation (P<0.01).Before operation, the index of left ventricular 17 segment REF (except apical cap, anterior apical septum, middle ventricular septum, middle lateral wall) in the observation group was significantly lower than that in the control group (P<0.05).After operation, the indexes of left ventricular 17 segment REF (except apical cap, anterior septum, middle septum, posterior wall, lateral wall, basal septum and lateral wall) in the observation group were significantly higher than those before operation (P<0.05).Meanwhile, the indexes of left ventricular 17 segment REF (except apical cap, anterior septum, middle septum and lateral wall) in the observation group were significantly lower than those in the control group (P<0.05). Conclusion FV-3DE technology can better evaluate the local volume and function of the heart in patients with coronary heart disease, feedback the changes of heart structure and morphology, and evaluate the patients′ condition.
keywords: Coronary heart disease Echocardiography Full volume Local volume of heart Cardiac function
文章编号： 中图分类号： 文献标志码：B
基金项目:河北省科学技术成果(20180499)
| Author Name | Affiliation |
| ZHANG Xiao-ling，JI Dong-hui, LI Xiao-yun | Ultrasound Department, Xingtai People′s Hospital, Xingtai, Hebei 054001, China |
引用文本：
张晓玲，姬东辉，李晓云.全容积三维超声心动图诊断冠心病患者心脏局部容积和心脏功能的应用效果[J].中国临床研究,2020,33(6):828-831.
张晓玲，姬东辉，李晓云.全容积三维超声心动图诊断冠心病患者心脏局部容积和心脏功能的应用效果[J].中国临床研究,2020,33(6):828-831.