3D-TEE和GERNV对慢性阻塞性肺病患者右心室收缩功能的研究

• 作 者: 杨印楼 许仁和 张运 王勇 季晓平 任长征 刘岱 黄承明 于学勇 郑钦霞
• 机 构: 济宁医学院附属医院,山东医科大学附属医院
• 出 处: 济宁医学院学报
• 发表日期: 1999年01期
• 关键词: 心室收缩功能 GERNV TEE 三维超声心动图 心室射血分数 慢性阻塞性肺病 舒张末期 慢性肺疾病 超声图 切面图

目的探讨多平面经食管三维超声心动图对右心室收缩功能的临床价值和在慢性阻塞性肺病检查中的意义。方法选择１０例单纯急性气管炎和２２例慢性阻塞性肺病患者进行多平面经食管三维超声心动图和平衡法放射性核素心室造影右心室射血分数同步测定。结果多平面经食管三维超声心动图和平衡法放射性核素心室造影对所有检查者的右心室射血分数分别为４２８７±１１６７和４１３２±１１４８，二者高度相关（ｒ＝０９１，Ｐ＜００１）且无显著性差异（Ｐ＞００５），多平面经食管三维超声心动图对单纯急性气管炎和慢性阻塞性肺病的右心室射血分数分别为５５１２±６９９和３７３０±８７３，有显著性差异（Ｐ＜００１）。结论多平面经食管三维超声心动图可用于临床右心室射血分数的测定，在慢性阻塞性肺病患者中其测值明显高于放射性核素法，且显示有右心室收缩功能损害

Objective To investigate the clinical value of multiplane transesophageal echocardiography in right ventricular systolic function and its significance in the examination of chronic obstructive pulmonary disease. Methods Ten patients with simple acute bronchitis and 22 patients with chronic obstructive pulmonary disease (COPD) were enrolled in the study. Simultaneous multiplane transesophageal echocardiography and simultaneous radiofrequency ventriculography with right ventricular ejection fraction were performed. Results The results of multiplane transesophageal echocardiography and balanced radionuclide ventriculography were 4287 ± 1167 and 4132 ± 1148 for all examiners, which were highly correlated r = 091, P <001) and no significant difference (P> 005), multiplane transesophageal echocardiography of acute tracheitis and chronic obstructive pulmonary disease right ventricular ejection fraction respectively 5512 ± 699 and 3730 ± 873, there was a significant difference (P <001). Conclusions Multiplanar transesophageal echocardiography can be used to measure the right ventricular ejection fraction in patients with chronic obstructive pulmonary disease (COPD), which is significantly higher than that of radionuclide method and shows right ventricular systolic dysfunction