| 瓣环扩大在功能性二尖瓣返流机制中的作用 |
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| 引用本文： | 熊文峰,赵宝珍,顾莉敏,蒋栋.瓣环扩大在功能性二尖瓣返流机制中的作用[J].中国医学影像技术,2006,22(3):360-362. |
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| 作者姓名： | 熊文峰 赵宝珍 顾莉敏 蒋栋 |
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| 作者单位： | 第二军医大学长海医院超声科,上海,200433 |
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| 摘 要： | 目的探讨瓣环扩大在功能性二尖瓣返流机制中的作用。方法应用超声心动图检查房颤组(20例)、返流组(30例)及正常组(20例)的心脏,测量二尖瓣返流比例、左室射血分数(EF)、左室大小、球形度、收缩期瓣环(MA)面积、收缩期后乳头肌与二尖瓣前瓣环的距离(PPMAMA)。结果房颤组左室大小、球形度、EF、PPMAMA和正常组相比没有统计学差异,但收缩期MA面积较正常组明显扩大,并与返流组相似,分别为(5.3±1.1)cm2、(7.4±1.5)cm2、(8.0±2.0)cm2,但房颤组二尖瓣返流量明显小于功能性二尖瓣返流组,分别为(12±7)%和(30±14)%。结论单纯瓣环的扩张似乎并不引起中或重度二尖瓣返流。
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| 关 键 词： | 超声心动描记术 功能性二尖瓣返流 瓣环 |
| 文章编号： | 1003-3289（2006）03-0360-03 |
| 收稿时间： | 2005-10-15 |
| 修稿时间： | 2006-01-24 |
Effect of mitral annular dilation in the mechanism of functional mitral regurgitation |
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| XIONG Wen-feng,ZHAO Bao-zhen,GU Li-min and JIANG Dong.Effect of mitral annular dilation in the mechanism of functional mitral regurgitation[J].Chinese Journal of Medical Imaging Technology,2006,22(3):360-362. |
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| Authors: | XIONG Wen-feng ZHAO Bao-zhen GU Li-min and JIANG Dong |
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| Institution: | Department of Ultrasound, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;Department of Ultrasound, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;Department of Ultrasound, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;Department of Ultrasound, Changhai Hospital, Second Military Medical University, Shanghai 200433, China |
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| Abstract: | Objective To investigate the effect of mitral annular (MA) dilation in the mechanism of functional mitral regurgitation (FMR). Methods Jet/left atrial area, mid-systolic MA area, left ventricular (LV) volumes, systolic L/D, ejection fraction (EF) and leaflet tethering length between the posterior papillary muscle tips and contralateral anterior MA (PPM-AMA) were compared by echocardiography among 20 control subjects, 20 patients with lone atrial fibrillation (AF group) and 30 patients with coronary artery disease or dilated cardiomyopathy (FMR group). Results LV size, EF, systolic L/D and PPM-AMA in AF group were similar to those in normal group, but MA dilated significantly in AF group and which was comparable to that of FMR group (MA area: cm2, cm2, cm2). However, AF group only had modest MR, which was smaller than FMR group (MR fraction: %, %). Conclusion Isolated annular dilation does not seem to cause moderate or severe MR. |
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| Keywords: | Echocardiography Functional mitral regurgitation Annular |
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