Quantificantion analysis of aortic root anatomical structure in aortic regurgitation patients by real-time three-dimensional transesophageal echocardiography

FU Xin; XIONG Mingchen; QU Shaohui; Wu Jiarong; TIAN Jiawei

doi:10.16245/j.cnki.issn1008-6978.2020.03.008

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Quantificantion analysis of aortic root anatomical structure in aortic regurgitation patients by real-time three-dimensional transesophageal echocardiography

更新时间：2021-10-08

- Quantificantion analysis of aortic root anatomical structure in aortic regurgitation patients by real-time three-dimensional transesophageal echocardiography
- Journal of Clinical Ultrasound in Medicine Vol. 22, Issue 3, Pages: 180-183(2020)
- 作者机构：
  
  1. 哈尔滨医科大学附属第二医院超声医学科
  2. 中国台湾台北市振兴医院心脏血管医学中心
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2020.03.008
  CLC： R540.45;R542.52
- Published：2020，
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[1]付昕,熊名琛,曲绍辉,吴家荣,田家玮.实时三维经食管超声心动图定量分析主动脉瓣反流患者主动脉根部解剖结构[J].临床超声医学杂志,2020,22(03):180-183.

FU Xin, XIONG Mingchen, QU Shaohui, et al. Quantificantion analysis of aortic root anatomical structure in aortic regurgitation patients by real-time three-dimensional transesophageal echocardiography. [J]. Journal of Clinical Ultrasound in Medicine 22(3):180-183(2020)
[1]付昕,熊名琛,曲绍辉,吴家荣,田家玮.实时三维经食管超声心动图定量分析主动脉瓣反流患者主动脉根部解剖结构[J].临床超声医学杂志,2020,22(03):180-183. DOI： 10.16245/j.cnki.issn1008-6978.2020.03.008.

FU Xin, XIONG Mingchen, QU Shaohui, et al. Quantificantion analysis of aortic root anatomical structure in aortic regurgitation patients by real-time three-dimensional transesophageal echocardiography. [J]. Journal of Clinical Ultrasound in Medicine 22(3):180-183(2020) DOI： 10.16245/j.cnki.issn1008-6978.2020.03.008.

摘要

目的应用实时三维经食管超声心动图（RT-3D-TEE）定量分析主动脉瓣反流（AR）患者主动脉根部解剖参数

筛选其中对AR影响最大的参数。方法选取我院择期接受主动脉瓣置换术的中至重度AR患者42例（AR组）和无AR的心脏疾病患者30例（对照组）

应用RT-3D-TEE获取两组主动脉瓣环、主动脉窦部及窦管结合部水平面的主动脉根部内径（AAD、SOVD、STJD）

主动脉根部面积（AAA、SOVA、STJA）

主动脉根部周长（AAC、SOVC、STJC）。比较两组上述各参数;Logistic回归分析两组间存在差异的参数

筛选其中对AR影响显著的参数

并绘制相应参数的受试者工作特征（ROC）曲线

分析其判定AR的敏感性和特异性。结果 AR组SOVD、STJD、AAA、SOVA、STJA、AAC、SOVC、STJC均较对照组增大

差异均有统计学意义（均P<0.05）;仅AAD两组比较差异无统计学意义。多因素逻辑回归模型逐步筛选出STJA和STJC对AR有显著影响（P=0.002、0.005）。ROC曲线分析显示

STJA和STJC截断值为7.165 mm2、9.3 mm时

判定AR的敏感性、特异性分别为69.8%、95.0%和74.4%、95.0%

曲线下面积分别为0.867、0.885。结论 AR时

主动脉瓣环、主动脉窦部及窦管结合部3个水平面主动脉根部参数增大程度不同

其中窦管结合部水平面的面积及周长变化显著

是导致AR的重要因素。

Abstract

Objective To quantitatively analyze the aortic root anatomical characteristics

and to screen the（）dimensional transesophageal echocardiography（RT-3 D-TEE）in AR patients.MethodsForty-two patients with AR were enrolled in AR group and 30 patients without AR were enrolled in control group.Parameters of the aortic root including root diameter（AAD

SOVD

STJD）

root area（AAA

SOVA

STJA）

root circumference（AAC

SOVC

STJC）were acquired by RT-3 D-TEE and compared between two groups.All parameters were analyzed by the Logistic regression

the parameters that have a significant effect on AR were selected and the receiver operating characteristic（ROC）curve of corresponding parameter was drawn to analyze the sensitivity and specificity of AR.ResultsCompared with the control group

SOVD

STJD

AAA

SOVA

STJA

AAC

SOVC

STJC in AR group were increased significantly（all P<0.05）

while only ADD had no statistical differences.STJA and STJC had significant influence on AR by multivariable Logistic regression（P=0.002

0.005）.The ROC curve analysis showed that taking STJA was 7.165 mm2

STJC was 9.3 mm as cutoff value

the sensitivity and specificity were 69.8%

95.0% and74.4%

95.0%

the area under ROC curve were 0.867 and 0.885

respectively.ConclusionThe aortic root parameters of thethree levels of the aortic annulus

aortic sinus

and sinus canal junction increase differently.Among them

the horizontal area and parameter of sinus canal junction change significantly

which are important factors leading to AR.

关键词

超声心动描记术经食管三维实时主动脉瓣反流主动脉根部解剖结构

Keywords

Echocardiographytransesophagealthree-dimensionalreal-timeAortic regurgitationAortic rootAnatomic structure

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