1.400045 重庆, 重庆康华众联心血管病医院:超声特诊科
2.400045 重庆, 重庆康华众联心血管病医院:心血管内科
Received:27 March 2018,
Revised:2018-05-29,
Published:15 August 2018
移动端阅览
Bin SHEN, Zhaohua GENG, Yu CHEN, et al. Left ventricle opacification versus two-dimensional echocardiography for left ventricular thickness: a control study of 113 cases[J]. Journal of Third Military Medical University, 2018, 40(15): 1413-1418.
Bin SHEN, Zhaohua GENG, Yu CHEN, et al. Left ventricle opacification versus two-dimensional echocardiography for left ventricular thickness: a control study of 113 cases[J]. Journal of Third Military Medical University, 2018, 40(15): 1413-1418. DOI: 10.16016/j.1000-5404.201803201.
目的
2
对比分析二维超声心动图(two-dimensional echocardiography,2DE)与左心声学造影(left ventricle opacification,LVO)在测量左心室室壁厚度中的差异,利用LVO结果以指导2DE在临床准确测量室壁厚度中的应用。
方法
2
收集2017年3月至2018年3月113例我院心内科住院患者行2DE与LVO检查的结果,按照18节段划分左心室室壁,以LVO测量结果为参考标准,两种检查方法测量舒张期及收缩期室壁厚度,分别采用配对
t
检验方法比较两者测量结果在18节段中的差异。
结果
2
两种方法测量的舒张期室壁厚度在1、2、7、8、11节段差异无统计学意义(
P
>
0.05),其余节段差异具有统计学意义(
P
<
0.05);两种方法测量收缩期室壁厚度时,1、2、7、8、9、11、12、13、14节段差异无统计学意义(
P
>
0.05),其余节段差异有统计学意义(
P
<
0.05)。
结论
2
2DE在测量舒张期室间隔基底段及中段、前侧壁中段和收缩期大部分节段测量结果准确可靠,有非常高的临床使用价值;但在其余节段室壁厚度的测量中存在误差,应使用LVO技术进行准确测量。
Objective
2
To compare the differences of two-dimensional echocardiography (2DE) and left ventricle opacification (LVO) in the measurement of left ventricular wall thickness
so as to use the results of LVO to guide 2DE for accurate measure of the thickness in clinical practice.
Methods
2
The results of 113 cases undergoing 2DE and LVO in the department of cardiovascular disease in our hospital from March 2017 to March 2018 were collected. The left ventricular wall was divided into 18 segments
and the results of LVO measurements were used as reference standards. The thicknesses of diastolic and systolic left ventricular wall were measured by 2 methods
and the results were compared by paired
t
test for the difference between them in the 18 segments.
Results
2
In the diastolic period
there were no statistically differences in the thicknesses of segments 1
2
7
8
11 between the 2 methods (
P
>
0.05)
but significant differences were seen in those of other segments (
P
<
0.05). During the systolic period
no statistically differences were seen in the thicknesses of segments 1
2
7
8
9
11
12
13 and 14 (
P
>
0.05)
but obvious differences were seen in those of other segments between the 2 measuring methods (
P
<
0.05).
Conclusion
2
2DE is accurate and reliable in the measurement of the basal segments
middle segments of interventricular septum and middle segments of the anterior wall in diastolic period
and most of the segments in systolic period. It is of very high clinical value
but there are errors in the measurement of the wall thickness of the remaining segments
and LVO should be used for accurate measurement.
HUELNHAGEN T, HEZEL F, SERRADAS DUARTE T, et al . Myocardial effective transverse relaxation time T2*correlates with left ventricular wall thickness:A 7.0 T MRI study[J ] . Magn Reson Med, 2017, 77(6):2381-2389. DOI:10.1002/mrm.26312.
BITON Y, GOLDENBERG I, KUTYIFA V, et al . Relative wall thickness and the risk for ventricular tachyarrhythmias in patients with left ventricular dysfunction[J ] . J Am Coll Cardiol, 2016, 67(3):303-312. DOI:10.1016/j.jacc.2015.10.076.
CHO E J, PARK S J, KIM E K, et al . Effects of increased left ventricular wall thickness on the myocardium in severe aortic stenosis with normal left ventricular ejection fraction:Two-and three-dimensional multilayer speckle tracking echocardiography[J ] . Echocardiography, 2017, 34(4):511-522. DOI:10.1111/echo.13474.
PORTER T R, ABDELMONEIM S, BELCIK J T, et al . Guidelines for the cardiac sonographer in the performance of contrast echocardiography:a focused update from the American Society of Echocardiography[J ] . J Am Soc Echocardiogr, 2014, 27(8):797-810. DOI:10.1016/j.echo.2014.05.011.
SALOUX E, LABOMBARDA F, ANTHUNE B, et al .Diagnostic value of three-dimensional contrast-enhanced echocardiography for left ventricular volume and ejection fraction measurement in patients with poor acoustic windows:an echo MRI comparison[J ] . Arch Cardiovasc Dis, 2013, 106(4):257-257.DOI:10.1016/j.echo.2014.06.006.
SENIOR R, BECHER H, MONAGHAN M, et al . Clinical practice of contrast echocardiography:recommendation by th e european association of cardiovascular imaging (EACVI) 2017[J ] . Eur Heart J Cardiovasc Imaging, 2017, 18(11):1205-1205af. DOI:10.1093/ehjci/jex182.
田锦润, 丁云川, 王庆慧, 等.左心声学造影的临床应用进展[J].临床超声医学杂志, 2017, 19(12):838-840. DOI:10.3969/j.issn.1008-6978.2017.12.017.
TIAN J R, DING Y C, WANG Q H, et al .Left heart contrast echocardiography:development and application[J ] . J Clin Ultrasound in Med, 2017, 19(12):838-840. DOI:10.3969/j.issn.1008-6978.2017.12.017.
HENJES CR, HUNGERBVHLER S, BOJARSKI I B, et al . Comparison of multi-detector row computed tomography with echocardiography for assessment of left ventricular function in healthy dogs[J ] . Am J Vet Res, 2012, 73(3):393-403. DOI:10.2460/ajvr.73.3.393.
刘延玲, 熊鉴然.临床超声心动图学[M].北京:科学出版社, 2014:839-866.
LIU Y L, XIONG J R. Clinical echocardiography[M].Beijing:Science Press, 2014:839-866.
朱天刚, 霍勇, 张运.超声心动图规范化培训教材[M].北京:人民卫生出版社, 2012:152-154.
ZHU T G, HUO Y, ZHANG Y. Standardized training materials for echocardiography[M].Beijing:People's Medical Publishing House, 2012:152-154.
SIRTORI C R, LABOMBARDA F, CASTELNUOVO S, et al . The use of echocardiography for the non-invasive evaluation of coronary artery disease[J ] . Ann Med, 2017, 49(2):134-141. DOI:10.1080/07853890.2016.1243801.
GIANNETTI A, MATERGI M, BISCONTRI M, et al . Contrast-enhanced ultrasonography in clinical practice in Crohn's disease:feasibility of destruction/replenishment method and software analysis[J ] .J Ultrasound, 2017, 20(4):309-319.DOI:10.1007/s40477-017-0263-4.
RADWAN H, HUSSEIN E.Value of global longitudinal strain by two dimensional speckle tracking echocardiography in predicting coronary artery disease severity[J].Egypt Heart J, 2017, 69(2):95-101.DOI:10.1016/j.ehj.2016.08.001.
AGHAJANI H, FAAL M, HOSSEINSABET A, et al . Evaluation of left atrial function via two-dimensional speckle-tracking echocardiography in patients with coronary artery ectasia[J ] . J Clin Ultrasound, 2017, 45(4):231-237. DOI:10.1002/jcu.22435..
ZHAO H, O'QUINN R, AMBROSE M, et al . Contrast-enhanced echocardiography has the greatest impact in patients with reduced ejection fractions[J ] . J Am Soc Echocardiogr, 2018, 31(3):289-296. DOI:10.1016/j.echo.2017.0 9.003.
SPOREA I, BADEA R, BRISC C, et al . Romanian national guidelines on contrast enhanced ultrasound in clinical practice[J ] . Med Ultrason, 2017, 19(4):401-415. DOI:10.11152/mu-1349.
刘明春. 12例心尖部肥厚性型心肌病超声心动图分析[J].医学信息, 2015(11):227.DOI:10.3969/j.issn.1006-1959.2015.11.316.
LIUM C.Echocardiographic analysis of 12 cases of apical hypertrophic cardiomyopathy[J]. Med Information, 2015(11):227. DOI:10.3969/j.issn.1006-1959.2015.11. 316.
SACCHERI M C, CIANCIULLI T F, MORITA L A, et al . Speckle tracking echocardiography to assess regional ventricular function in patients with apical hypertrophic cardiomyopathy[J ] . World J Cardiol, 2017, 9(4):363-370. DOI:10.4330/wjc.v9.i4.363.
GARCIA R, LABARRE Q, DEGAND B, et al . Apical left ventricular myocardial dysfunction is an early feature of cardiac involvement in myotonic dystrophy type 1[J ] . Echocardiography, 2017, 34(2):184-190. DOI:10.1111/echo.13426.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
