实时三维斑点追踪成像技术评价冠状动脉左前降支不同程度狭窄

doi:10.3877/cma.j.issn.1672-6448.2015.11.010

中华医学超声杂志（电子版） ›› 2015, Vol. 12 ›› Issue (11) : 865 -868. doi: 10.3877/cma.j.issn.1672-6448.2015.11.010

所属专题：文献；

心血管超声影像学

实时三维斑点追踪成像技术评价冠状动脉左前降支不同程度狭窄

薛娜¹, 刘昕²^,^†(

), 陈莹²

^1. 067000　承德医学院研究生院影像医学与核医学系
^2. 071000　河北省保定市第一中心医院超声科

收稿日期:2015-02-27 出版日期:2015-11-01
通信作者: 刘昕

Value of real-time three-dimentional speckle tracking imaging on assessment of different degrees of stenosis of left anterior descending coronary artery

Na Xue¹, Xin Liu²(), Ying Chen²

Received:2015-02-27 Published:2015-11-01
Corresponding author: Xin Liu

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表1 4组受试者RT3D-STI技术测得的常规参数比较（±s）

组别	例数	年龄（岁）	性别构成（例，男性/女性）	LVEDV（ml）	LVESV（ml）	LVEF（%）	HR（次/min）	SV（ml）	CO（L）
对照组	32	57.5±9.7	20/32	85.5±10.3	32.7±6.1	62.0±4.2	69.4±13.8	52.9±6.0	3.7±1.0
冠状动脉LAD轻度狭窄组	33	61.4±7.4	22/33	89.3±11.6	35.0±6.3	60.9±4.0	71.3±1.4	54.3±7.6	3.9±0.8
冠状动脉LAD中度狭窄组	37	61.8±8.7	20/37	91.2±11.2	38.3±9.3	58.1±8.7	70.0±10.6	52.9±9.7	3.7±0.9
冠状动脉LAD重度狭窄组	35	60.7±8.9	24/35	89.7±13.1	36.4±6.7	59.5±4.9	67.7±10.6	53.3±8.5	3.6±1.0
F值	?	0.83	0.20	0.94	2.38	1.93	0.41	0.15	0.28
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

表1 4组受试者RT3D-STI技术测得的常规参数比较（±s）

组别	例数	年龄（岁）	性别构成（例，男性/女性）	LVEDV（ml）	LVESV（ml）	LVEF（%）	HR（次/min）	SV（ml）	CO（L）
对照组	32	57.5±9.7	20/32	85.5±10.3	32.7±6.1	62.0±4.2	69.4±13.8	52.9±6.0	3.7±1.0
冠状动脉LAD轻度狭窄组	33	61.4±7.4	22/33	89.3±11.6	35.0±6.3	60.9±4.0	71.3±1.4	54.3±7.6	3.9±0.8
冠状动脉LAD中度狭窄组	37	61.8±8.7	20/37	91.2±11.2	38.3±9.3	58.1±8.7	70.0±10.6	52.9±9.7	3.7±0.9
冠状动脉LAD重度狭窄组	35	60.7±8.9	24/35	89.7±13.1	36.4±6.7	59.5±4.9	67.7±10.6	53.3±8.5	3.6±1.0
F值	?	0.83	0.20	0.94	2.38	1.93	0.41	0.15	0.28
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

表2 4组受试者左心室心肌应变参数比较（%，±s）

组别	例数	LVGLS	LVGCS	LVGAS	LVGRS
对照组	32	-16.4±2.2	-17.7±2.3^c	-29.7±3.0	48.2±7.4
冠状动脉LAD轻度狭窄组	33	-15.6±1.8	-15.8±2.3	-26.9±2.3^e	42.9±5.1^h
冠状动脉LAD中度狭窄组	37	-13.6±2.3^a	-16.0±2.2	-24.8±3.3^f	38.5±7.3ⁱ
冠状动脉LAD重度狭窄组	35	-12.6±1.7^b	-14.1±2.6^d	-22.9±2.8^g	35.1±6.4^j
F值	?	18.07	9.68	24.24	17.14
P值	?	<0.01	<0.01	<0.01	<0.01

表2 4组受试者左心室心肌应变参数比较（%，±s）

组别	例数	LVGLS	LVGCS	LVGAS	LVGRS
对照组	32	-16.4±2.2	-17.7±2.3^c	-29.7±3.0	48.2±7.4
冠状动脉LAD轻度狭窄组	33	-15.6±1.8	-15.8±2.3	-26.9±2.3^e	42.9±5.1^h
冠状动脉LAD中度狭窄组	37	-13.6±2.3^a	-16.0±2.2	-24.8±3.3^f	38.5±7.3ⁱ
冠状动脉LAD重度狭窄组	35	-12.6±1.7^b	-14.1±2.6^d	-22.9±2.8^g	35.1±6.4^j
F值	?	18.07	9.68	24.24	17.14
P值	?	<0.01	<0.01	<0.01	<0.01

图1 左心室心肌应变参数诊断冠状动脉粥样硬化性心脏病的受试者工作特性曲线

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