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超声二维斑点追踪显像技术评价心肌致密化不全心肌病患者左心室收缩功能
引用本文:王巧,李玲,谢明星,吕清,杨亚利,袁莉,卢晓芳,李玥霖,张丽,李玉曼. 超声二维斑点追踪显像技术评价心肌致密化不全心肌病患者左心室收缩功能[J]. 中国医学影像技术, 2011, 27(10): 2035-2039
作者姓名:王巧  李玲  谢明星  吕清  杨亚利  袁莉  卢晓芳  李玥霖  张丽  李玉曼
作者单位:华中科技大学同济医学院附属协和医院超声影像科湖北省分子影像重点实验室,湖北武汉,430022
摘    要:目的 应用超声二维斑点追踪显像(STI)技术评价孤立性心肌致密化不全(IVNC)患者左心室局部心肌收缩功能。 方法 对34例IVNC患者(IVNC组)及28名健康志愿者(对照组)进行超声检查,分析左心室二尖瓣、乳头肌、心尖水平短轴切面及心尖左心室长轴、四腔、两腔切面连续3个心动周期的二维灰阶图像。按照18节段划分法,记录左心室各节段心肌径向(Sr)、圆周(Sc)、纵向(εS)收缩期峰值应变,并将受累节段与未受累节段及对照组同水平相应节段进行比较。 结果 ①与对照组比较,IVNC组左心室所有节段心肌Sr、Sc、εS均减低(P<0.05)。②IVNC组非致密心肌(乳头肌及心尖水平)Sr、Sc、εS测值较同一水平致密心肌减低(P<0.05)。③与对照组比较,IVNC组心率、LADs、LVEDD、LVM、LVMI、EDV、ESV值均增加,IVSd、LVPWDd、LVEF值均减小(P<0.01)。 结论 IVNC患者左心室局部心肌收缩功能减低,以受累节段收缩功能减低尤为明显。STI技术可准确定量分析IVNC患者左心室局部心肌收缩功能。

关 键 词:超声心动描记术  心肌病  斑点追踪显像  心室功能,左
收稿时间:2011-03-07
修稿时间:2011-06-28

Evaluation on systolic function of left ventricular using speckle tracking imaging in patients of isolated ventricular non-compaction cardiomyopathy
WANG Qiao,LI Ling,XIE Ming-xing,LV Qing,YANG Ya-li,YUAN Li,LU Xiao-fang,LI Yue-lin,ZHANG Li and LI Yu-man. Evaluation on systolic function of left ventricular using speckle tracking imaging in patients of isolated ventricular non-compaction cardiomyopathy[J]. Chinese Journal of Medical Imaging Technology, 2011, 27(10): 2035-2039
Authors:WANG Qiao  LI Ling  XIE Ming-xing  LV Qing  YANG Ya-li  YUAN Li  LU Xiao-fang  LI Yue-lin  ZHANG Li  LI Yu-man
Affiliation:Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China;Department of Ultrasound, Union Hospital of Tongji Medical College of Huazhong University of Science & Technology, Hubei Key Laboratory of Molecular, Wuhan 430022, China
Abstract:Objective To evaluate the systolic function of noncompacted and compacted left ventricular segments in patients with isolated ventricular non-compaction(IVNC) using speckle tracking imaging(STI).Methods Thirty four patients with IVNC(IVNC group) and 28 healthy subjects(control group) were enrolled in the study.High frame rate two-dimensional images of three consecutive cardiac cycles at the levels of mitral annulus,papillary muscle and the apex as well as apical long axis view of left ventricle,apical 4 cha...
Keywords:Echocardiography  Myocardial diseases  Speckle tracking imaging  Ventricular function, left
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