左心声学造影与二维超声心动图测量左心室厚度的对照研究

申斌; 耿召华; 陈瑜; 刘晓丽; 蒋演

doi:10.16016/j.1000-5404.201803201

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左心声学造影与二维超声心动图测量左心室厚度的对照研究

临床医学 | 更新时间：2026-01-09

- 左心声学造影与二维超声心动图测量左心室厚度的对照研究
- Left ventricle opacification versus two-dimensional echocardiography for left ventricular thickness: a control study of 113 cases
- 第三军医大学学报 2018年40卷第15期页码：1413-1418
- 作者机构：
  
  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
- 作者简介：
  
  [ 耿召华, E-mail:1050179540@qq.com GENG Zhaohua, E-mail:1050179540@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201803201
  中图分类号： R322.11;R445.1;R540.45
- 收稿：2018-03-27，
  
  修回：2018-05-29，
  
  纸质出版：2018-08-15
- 稿件说明：
移动端阅览
申斌, 耿召华, 陈瑜, 等. 左心声学造影与二维超声心动图测量左心室厚度的对照研究[J]. 第三军医大学学报, 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.
申斌, 耿召华, 陈瑜, 等. 左心声学造影与二维超声心动图测量左心室厚度的对照研究[J]. 第三军医大学学报, 2018,40(15):1413-1418. DOI： 10.16016/j.1000-5404.201803201.

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.

摘要

目的

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

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

检验方法比较两者测量结果在18节段中的差异。

结果

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（

0.05），其余节段差异具有统计学意义（

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（

0.05），其余节段差异有统计学意义（

0.05）。

结论

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。

Abstract

Objective

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

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

test for the difference between them in the 18 segments.

Results

In the diastolic period

there were no statistically differences in the thicknesses of segments 1

11 between the 2 methods (

0.05)

but significant differences were seen in those of other segments (

0.05). During the systolic period

no statistically differences were seen in the thicknesses of segments 1

13 and 14 (

0.05)

but obvious differences were seen in those of other segments between the 2 measuring methods (

0.05).

Conclusion

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.

关键词

Keywords

references

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