Clinical value of left ventricle opacification in evaluating regional wall motion abnormalities in patients with coronary artery disease

申斌; 郭燕丽; 朱平; 柳强维; 黄海韵; 王文婷

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Clinical value of left ventricle opacification in evaluating regional wall motion abnormalities in patients with coronary artery disease

更新时间：2026-01-09

- Clinical value of left ventricle opacification in evaluating regional wall motion abnormalities in patients with coronary artery disease
- Journal of Army Medical University Vol. 37, Issue 24, Pages: 2459-2463(2015)
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  CLC： R445.1;R540.45;R541.4
- Published：2015
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申斌,郭燕丽,朱平,柳强维,黄海韵,王文婷.左心腔声学造影在评估冠心病患者室壁节段运动异常中的应用价值[J].陆军军医大学学报(原第三军医大学学报),2015,37(24):2459-2463.

　Shen Bin,Guo Yanli,Zhu Ping,Liu Qiangwei,Huang Haiyun,Wang Wenting.Clinical value of left ventricle opacification in evaluating regional wall motion abnormalities in patients with coronary artery disease[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(24):2459-2463.
申斌,郭燕丽,朱平,柳强维,黄海韵,王文婷.左心腔声学造影在评估冠心病患者室壁节段运动异常中的应用价值[J].陆军军医大学学报(原第三军医大学学报),2015,37(24):2459-2463. DOI：

　Shen Bin,Guo Yanli,Zhu Ping,Liu Qiangwei,Huang Haiyun,Wang Wenting.Clinical value of left ventricle opacification in evaluating regional wall motion abnormalities in patients with coronary artery disease[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(24):2459-2463. DOI：

摘要

目的分析冠心病患者的二维常规超声心动图、实时三维超声心动图、左心腔声学造影及冠状动脉血管造影术的结果，评估左心腔声学造影在冠心病室壁节段运动评估中的应用价值。方法回顾性分析我院心血管内科48例临床初诊为冠心病患者的二维常规超声心动图、实时三维超声心动图及左心腔声学造影数据，将其分别与冠状动脉血管造影术结果进行对照分析，评估3种方法在室壁节段运动评估中的准确性。结果 48例患者左心腔声学造影对心内膜的显示率为100%，明显高于二维常规超声心动图（90.56%）和实时三维超声心动图（91.05%）；同时，其对室壁节段运动诊断的准确率2名医师分别为93.75%、95.83%，较二维常规超声心动图(89.58%

86.80%)和实时三维超声心动图(90.28%

90.97%)具有明显优势。结论左心腔声学造影能明显提高左心室内膜面的显示效果

从而提高对冠心病室壁节段运动的诊断。

Abstract

Objective To evaluate clinical value of left ventricle opacification (LVO) in the diagnosis of left ventricular regional wall motion abnormalities (RWMA) through analyzing the results of two-dimensional echocardiography (2DE)

real-time three-dimensional echocardiography (RT-3DE)

LVO and coronary angiography in the patients with coronary heart disease (CHD). Methods The ultrasonic data of 2DE

RT-3DE and LVO of 48 patients preliminarily diagnosed with CHD were retrospectively analyzed. All the patients were examined by coronary angiography after echocardiography. The results of the 3 ultrasonic methods were respectively compared with the coronary angiographic results. The accuracy of 3 three ultrasonic methods in diagnosing RWMA was evaluated. Results The endocardium visualization rate of LVO was 100%

significantly higher than 90.56% of 2DE and 91.05% of RT-3DE. The diagnosis accuracy of LVO was 93.75% (95.83%)

significantly higher than 89.58% (86.80%) of 2DE or 90.28% (90.97%) of RT-3DE. Conclusion LVO can greatly improve the diagnosis of RWAM through enhancing the endocardium visualization effect.

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Department of Ultrasonography， First Affiliated Hospital， Army Medical University （Third Military Medical University）

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