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南方科技大学医院超声科
纸质出版日期:2020,
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[1]陈烨,苏晖,张皓东,张建华.四维右室容积定量分析技术评估原发性高血压病患者右室收缩功能[J].临床超声医学杂志,2020,22(06):420-424.
CHEN Ye, SU Hui, ZHANG Haodong, et al. Value of 4D-RV-Volume in the assessment of right ventricular systolic function in patients with essential hypertension[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(6):420-424.
[1]陈烨,苏晖,张皓东,张建华.四维右室容积定量分析技术评估原发性高血压病患者右室收缩功能[J].临床超声医学杂志,2020,22(06):420-424. DOI: 10.16245/j.cnki.issn1008-6978.2020.06.006.
CHEN Ye, SU Hui, ZHANG Haodong, et al. Value of 4D-RV-Volume in the assessment of right ventricular systolic function in patients with essential hypertension[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(6):420-424. DOI: 10.16245/j.cnki.issn1008-6978.2020.06.006.
目的探讨四维右室容积定量分析(4D-RV-Volume)技术评估原发性高血压病患者右室收缩功能的临床价值。方法选择84例原发性高血压病患者
按照左室质量指数(LVMI)不同分为正常LVMI组44例和高LVMI组40例;另选同期健康体检者45例为对照组;记录各组二维超声参数即左室舒张末期内径(LVIDD)、左室收缩末期内径(LVESD)、左室后壁厚度(LVPWT)、室间隔厚度(IVST)、左室射血分数(LVEF)、三尖瓣环收缩期位移(TAPSE)、三尖瓣舒张早晚期峰值速度比值(E/A)、肺动脉收缩压(PASP)及右室Tei指数;4D-RV-Volume技术获取右室舒张末期容积(RVEDV)、右室收缩末期容积(RVESV)、右室射血分数(RVEF)、右室游离壁纵向应变率(RVFLS)、室间隔纵向应变率(RVSLS)、面积变化分数(RVFAC)等;比较各组上述参数变化。结果高LVMI组LVIDD、LVESD、LVPWT、IVST、RVEDV、RVESV均高于对照组
LVEF低于对照组
差异均有统计学意义(均P<0.05);高LVMI组TAPSE高于对照组和正常LVMI组
RVSLS低于正常组和对照组
差异均有统计学意义(均P<0.05);对照组、正常LVMI组、高LVMI组E/A、RVFLS、RVFAC、RVEF均呈降低趋势
PASP、右室Tei指数均呈升高趋势
组间两两比较差异均有统计学意义(均P<0.05)。RVEF与右室Tei指数、PASP均呈负相关(r=-0.513、-0.470
均P<0.05)
与TAPSE呈正相关(r=0.607
P<0.05)。4D-RVVolume技术检测右室RVEDV、RVESV、RVEF在不同观察者间具有良好的一致性。结论 4D-RV-Volume技术可定量分析原发性高血压病患者右室结构和功能。
ObjectiveTo investigate the clinical application value of 4 D-RV-Volume in the assessment of rightventricular systolic function in patients with essential hypertension.MethodsEighty-four patients with essential hypertensionwere divided into normal left ventricular mass index(LVMI)group(44 cases)and high LVMI group(40 cases)
45 healthexaminer were chosen as the control group.Left ventricular end diastolic diameter(LVIDD)
left ventricular end systolic diameter(LVESD)
left ventricular posterior wall thickness(LVPWT)
interventricular septal thickness(IVST)
left ventricular ejectionfraction(LVEF)
tricuspid annulus systolic displacement(TAPSE)
ratio of early to late peak velocity(E/A)
pulmonary arterysystolic pressure(PASP)and right ventricular Tei index were recorded. 4 D-RV-Volume technique was used to obtain theparameters of right ventricular end diastolic volume(RVEDV)
right ventricular end systolic volume(RVESV)
right ventricularejection fraction(RVEF)
right ventricular free wall longitudinal strain rate(RVFLS)
interventricular septal longitudinal strainrate(RVSLS)
area change fraction(RVFAC).The results were compared in groups.ResultsLVIDD
LVESD
LVPWT
IVST
RVEDV
RVESV of the high LVMI group were higher than those of the control group(all P<0.05)
LVEF was lower than that ofthe control group(P<0.05)
TAPSE of the high LVMI group was higher than that of the control group and the normal LVMI group(both P<0.05)
E/A
RVFLS
RVFAC
and RVEF of the control group
the normal LVMI group and the high LVMI group wereall decreased(all P<0.05)
PASP and Tei index were increased(all P<0.05).RVSLS was lower than that of the normal group and the control group(both P<0.05).RVEF was negatively correlated with Tei index and PASP(r=-0.513
-0.470
both P<0.05)
andpositively correlated with TAPSE(r=0.607
P<0.05).RVEDV
RVESV
and RVEF of right ventricle showed good consistency by4 D-RV-Volume technique.Conclusion4 D-RV-Volume technique can be used to quantitatively analyze the structure andfunction of right ventricle in patients with essential hypertension.
超声心动描记术四维右室容积定量分析高血压病原发性心室功能右
EchocardiographyFour-dimensional quantitative analysis of right ventricular volumeHypertensionessentialVentricular functionright
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