三维超声斑点追踪技术评估原发性干燥综合征合并中度肺动脉高压患者左室运动改变

李文; 苏欣悦; 段素娟; 马兰; 刘泳

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三维超声斑点追踪技术评估原发性干燥综合征合并中度肺动脉高压患者左室运动改变

临床研究 | 更新时间：2023-10-09

- 三维超声斑点追踪技术评估原发性干燥综合征合并中度肺动脉高压患者左室运动改变
- Evaluation of left ventricular movement change in primary sj?gren's syndrome patients with moderate pulmonary arterial hypertention by three-dimensional speckle tracking imaging
- 临床超声医学杂志 2022年24卷第10期
- 作者机构：
  
  1. 青岛大学附属医院
  2. 青岛市中医医院（市海慈医院）
- 作者简介：
- 基金信息：
  
  山东省医药卫生科技发展计划项目(2018WS368)
- DOI：
  中图分类号：
- 纸质出版日期：2022，
  
  网络出版日期：2022-10-31，
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李文, 苏欣悦, 段素娟, 等. 三维超声斑点追踪技术评估原发性干燥综合征合并中度肺动脉高压患者左室运动改变[J]. 临床超声医学杂志, 2022,24(10).

Evaluation of left ventricular movement change in primary sj?gren's syndrome patients with moderate pulmonary arterial hypertention by three-dimensional speckle tracking imaging[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(10).
李文, 苏欣悦, 段素娟, 等. 三维超声斑点追踪技术评估原发性干燥综合征合并中度肺动脉高压患者左室运动改变[J]. 临床超声医学杂志, 2022,24(10). DOI：

Evaluation of left ventricular movement change in primary sj?gren's syndrome patients with moderate pulmonary arterial hypertention by three-dimensional speckle tracking imaging[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(10). DOI：

摘要

摘要目的应用三维超声斑点追踪技术（3D-STI）评估原发性干燥综合征（pSS）合并中度肺动脉高压（PAH）患者左室运动改变。方法选取60例pSS患者作为实验组，分为无PAH组（pSS-NPAH组）30例、合并中度PAH组（pSS-PAH组）30例，同时纳入20例健康志愿者为对照组。比较三组常规二维超声心动图参数和3D-STI参数：心肌纵向应变值（GLS）?心肌圆周应变值（GCS）?心肌径向应变值（GRS）、左心室整体扭转角度峰值（LVPtw）、左心室整体扭转达峰时间（LVPtwT），通过ROC曲线分析比较GLS、GCS、GRS、LVPtw的诊断效能。结果 PSS-NPAH组与对照组比较，GLS、GCS、GRS降低，差异有统计学意义（均P＜0.05），pSS-PAH组与对照组、pSS-NPAH组比较，GLS、GCS、GRS和LVPtw降低，LVPtwT升高，差异有统计学意义（均P＜0.05），ROC曲线显示，GLS、GCS、GRS、LVPtw检测pSS合并中度PAH患者左心功能异常的曲线下面积（AUC）范围为0.833~0.935，准确性较好。结论 PSS造成心室功能受损，3D-STI可早期检测pSS合并中度PAH时左室心肌扭转运动改变和应变改变，评估左室功能受损程度。

Abstract

ABSTRACT Objective To evaluate the left ventricular movement change in primary sj?gren's syndrome(pSS) patients with moderate pulmonary arterial hypertention(PAH) by three-dimensional speckle tracking imaging(3D-STI) technique.Methods 60 patients with pSS were divided into two groups according to pulmonary arterial hypertension:pSS-NPAH group (without PAH

30 cases) and pSS-PAH group(with moderate PAH

30 cases)

other 20 healthy adults were included into control group.Compare their two-dimensional ultrasonic parameters and 3D-STI parameters:global longitudinal strain(GLS)

global circumferential strain (GCS)

global radial strain (GRS)

left ventricular peak twist (LVPtw)

time at left ventricular peak twist (LVPtwT).ROC curve was used to analyze the sensitivity and specificity of three-dimensional parameters in the diagnosis of left ventricular movement change of pSS patients with moderate PAH.Results Compared with control group

GLS、GCS、GRS were significantly decreased in pSS-NPAH group(all P <0.05)

compared with control group and pSS-NPAH group

GLS、GCS、GRS、LVPtw were significantly decreased and LVPtwT were significantly increased in pSS-PAH group(all P <0.05).ROC curve analysis showed that the area under the curve of three-dimensional parameters were 0.833-0.935

the accuracy was good.Conclusion PSS can impaire ventricular function

3D-STI can be used to evaluate left ventricular systolic function in pSS patients with moderate PAH.

关键词

三维超声斑点追踪技术原发性干燥综合征肺动脉高压左室

Keywords

Three-dimensional speckletracking imagingPrimary sj?gren's syndromePulmonary arterial hypertensionLeft ventricular function

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