实时三维超声心动图评价肺动脉瓣狭窄的临床研究-东南大学学报医学版

实时三维超声心动图评价肺动脉瓣狭窄的临床研究

单位：1. 中国医科大学附属第四医院超声科, 辽宁沈阳 110032;
2. 中国医科大学附属盛京医院超声科, 辽宁沈阳 110004

分类号：R540.45;R542.54

出版年·卷·期（页码）：2014·33·第三期（335-337）

摘要：

目的：探讨实时三维经胸超声心动图（RT-3DE）对评价肺动脉瓣狭窄（PVS）的价值。方法：二维经胸超声心动图诊断为PVS的86例患者，同时接受RT-3DE检查。结果：RT-3DE可确定PV瓣叶数目者占67.44%（58/86），PVS二维测值、三维测得面积分别与手术结果相比，后者相关系数更高（P<0.05）。经过体表面积矫正后的PVS三维面积与肺动脉瓣血流速度的相关系数r=0.76。实时三维血流可清晰显示PVS立体狭窄血流。结论：RT-3DE可以为诊断PVS提供更丰富的信息。

Objective:To evaluate the effect of real-time three-dimensional echocardiography (RT-3DE) in patients with pulmonary valvular stenosis (PVS). Methods:Totally 86 patients with PVS diagnosed by two dimensional echocardiography were examined with RT-3DE. Results:Pulmonary leaflet numbers in 67.44%(58/86) patients with PVS were determined. The results of RT-3DE had better correlation with the the surgical results than two dimensional echocardiography(P<0.05). The r between the aera of PV with the correction of the body surface area and the speed of the PV was 0.76.The stenosis flow of PVS was showed three-dimensionally by real-time three-dimensional color Doppler flow imaging (RT-3D color). Conclusion:RT-3DE can supply more information in diagnosing PVS.

参考文献：

[1] SONG J M,JANG M K,KIM Y J,et al.Right ventricular remodeling determines tricuspid valve geometry and the severity of functional tricuspid regurgitation:a real-time 3-dimensional echocardiography study[J].Korean Circ J,2010,40(9):448-453.
[2] CHEN F L,HSIUNG M C,NANDA N,et al.Real time three-dimensional echocardiography in assessing ventricular septal defects:an echo-cardiographic-surgical correlative study[J].Echocardiography,2006,23(7):562-568.
[3] HERBERG U,BRAND M,BERNHARDT C,et al.Variables influencing the accuracy of 2-dimensional and real-time 3-dimensional echocardiography for assessment of small volumes, areas, and distances:an in vitro study using static tissue-mimicking phantoms[J].J Ultrasound Med,2011,30(7):899-908.
[4] BLOT-SOULETIE N,HBRARD A,ACAR P,et al.Comparison of accuracy aortic valve area assessment in aortic stenosis by real time three-dimensional echocardiography in biplane mode versus two-dimension transthoracic and transesophageal[J].Echocardiography,2007,24(10):1065-1072.
[5] FONG L C,MING C H,NAVIN N,et al.Real time three-dimensional echocardiography in assessing ventricular septal defects:an echocardiographic-surgical correlative study[J].Echocardiography,2006,23(7):562-568.
[6] 孙丹丹,任卫东,陈昕,等.实时三维超声心动图评价继发孔型房间隔缺损面积在心动周期各时相的动态变化特征[J].中国医学影像技术,2009,25(6):1018-1020.
[7] THIERRY V S,OSAMA S,PATRICK L,et al.Intraoperative real time three-dimensional transesophageal echocardiographic measurement of hemodynamic,anatomic and functional changes after aortic valve replacement[J].Echocardiography,2009,26(1):96-99.
[8] YU Y,SUN K,XUE H,et al.Usefulness of real-time 3-dimensional echocardiography to identify and quantify left ventricular dyssynchrony in patients with Kawasaki disease[J].J Ultrasound Med,2013,32(6):1013-1021.
[9] SUWANJUTAH T,SINGH H,PLAISANCE B R,et al.Live/real time three-dimensional transthoracic echocardiographic findings in primary left atrial leiomyosarcoma[J].Echocardiography,2008,25:337-339.
[10] van DIJ K J,DIJKMANS P A,GOTTE M J,et al:Evaluation of global left ventricular function and mechanical dyssynchrony in patients with an asymptomatic left bundle branch block:A real-time 3D echocardiographystudy[J].Eur J Echocardiogr,2008,9:40-46.
[11] 庄燕,王醒.超声心动图在重症患者容量状态评估中的应用[J].东南大学学报:医学版,2013,32(1):125-127.
[12] 史鹏丽,马灵芝.经腹及阴道超声联合诊断卵巢黄体破裂的应用探讨[J].东南大学学报:医学版,2013,32(2):192-195.

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