影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (1): 29-33.DOI: 10.7517/issn.1674-0475.200508

• 综述与论文 • 上一篇    下一篇

两种超声检查方法测量心血管疾病患者左心室室壁厚度的对照研究

纵亚利1, 杜宗礼2   

  1. 1. 蚌埠市中医医院 超声科, 安徽 蚌埠 233080;
    2. 蚌埠市中医医院 心病科, 安徽 蚌埠 233080
  • 收稿日期:2020-05-12 发布日期:2021-01-13
  • 通讯作者: 纵亚利

Compare the Differences of Two Ultrasound Methods in Measurement the Left Ventricular Wall Thickness of the Patients with Cardiovascular Diseases

ZONG Yali1, DU Zongli2   

  1. 1. Department of Ultrasound, Bengbu Hospital of Traditional Chinese Medicine, Bengbu 233080, Anhui, P. R. China;
    2. Department of Cardiology, Bengbu Hospital of Traditional Chinese Medicine, Bengbu 233080, Anhui, P. R. China
  • Received:2020-05-12 Published:2021-01-13

摘要: 本文研究二维超声心动图(2DE)与左心声学造影(LVO)两种方法测量心血管疾病患者左心室室壁厚度的准确性。选取心血管疾病患者226例,均行2DE和LVO检测。以LVO检测结果作为对照,分析2DE测量左心室各切面舒张期及收缩期室壁厚度的准确性。结果显示,2DE测量心尖两腔(3、6、9、12、15、18节段)、心尖三腔(4、10、13、16节段)和心尖四腔(5、14、17节段)舒张期室壁厚度与LVO比较有统计学差异(P<0.05)。2DE测量心尖两腔(3、6、15、18节段)、心尖三腔(4、10、16节段)和心尖四腔(5、17节段)收缩期室壁厚度与LVO比较有统计学差异(P<0.05)。2DE测量左心室心尖四腔、心尖三腔切面室壁厚度的准确性相对较高,对于心尖两腔切面,建议使用LVO测量。

关键词: 心血管疾病, 二维超声心动图, 左心声学造影, 左心室室壁厚度

Abstract: In this study,the accuracy of two-dimensional echocardiography (2DE) and left ventricular opacification (LVO) in measurement the left ventricular wall thickness of cardiovascular disease was analyzed. 226 patients with cardiovascular diseases were examined by 2DE and LVO. The results of LVO were used as reference standard, the accuracy of 2DE in measurement the left ventricular wall thickness was analyzed. The results showed that the diastolic wall thickness of 2DE in measurement the apical two chamber (3, 6, 9, 12, 15, 18 segments), apical three chamber (4, 10, 13, 16 segments) and apical four chamber (5, 14, 17 segments) were compared with LVO, the differences were statistically significant (P<0.05). The systolic wall thickness of 2DE in measurement the apical two chamber (3,6,15,18 segments), apical three chamber (4,10,16 segments) and apical four chamber (5,17 segments) were compared with LVO, the differences were statistically significant (P<0.05). Therefore, 2DE in measurement the wall thickness of apical four chamber and apical three chamber is accurate. LVO should be used for accurate measurement the wall thickness of apical two chamber.

Key words: cardiovascular disease, two-dimensional echocardiography, left ventricular opacification, left ventricular wall thickness