超高速CT和超声心动描记术测定左心室容积的比较——附35例检测结果

• 作 者: 王礼春 曾武涛 冯冲 周旭辉 麦炜颐 马虹
• 机 构: 中山医科大学附属第一医院影像医学部!510080,中山医科大学附属第一医院影像医学部!510080,中山医科大学附属第一医院影像医学部!510080,中山医科大学附属第一医院影像医学部!510080,
• 出 处: 新医学
• 发表日期: 2000年03期
• 关键词: 超高速计算机断层扫描 超声心动描记术 左心室舒张末期容积 左心室收缩末期客积 左心室每搏量

目的：研究超高速计算机断层扫描（ultrafast CT，UFCT）与超声心动描记术（UCG）在左心室容积测定中的关系。方法：采用自身对照的方法，分别测量35例患者的左心室舒张末期容积（LVEDV）、左心室收缩末期容积（LVESV）及左心室每搏量（LVSV）。结果：UFCT与UCG在测定左心室容积时有明显的相关性，相关系数分别为r LVEDV＝0．890P ＝0．0001，r LVESV＝0．936P ＝0．0001，r LVSV＝0．790P ＝0．003。UFCT对LVEDV、LVESV的测定值较UCG为大，P ＝0．018、P ＝0．001。结论：UFCT与UCG对左心室容积的测定具有相当的统一性，但在评价LVEDV、LVESV时，前者测定值较大。在临床实践中，应根据实际情况选择应用。

Objective: To study the relationship between ultrafast CT (UFTC) and echocardiography (UCG) in the determination of left ventricular volume. Methods: Left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV) and left ventricular stroke volume (LVSV) were measured in 35 patients by self-control method. Results: UFCT and UCG in the determination of left ventricular volume were significantly correlated, the correlation coefficients were r LVEDV = 0.890  P = 0.0001 , r LVESV = 0.936  P = 0.0001 , r LVSV = 0.790  P = 0.003 . UFCT LVEDV, LVESV measured values ​​greater than UCG, P = 0.018, P = 0.001. Conclusion: UFCT and UCG have a fairly uniform measurement of left ventricular volume, but in the evaluation of LVEDV and LVESV, the former has a large value. In clinical practice, the application should be based on the actual situation.