首页|二维斑点追踪超声显像联合右心声学造影对肺动脉压正常的慢性阻塞性肺疾病患者右心室功能的评估价值

二维斑点追踪超声显像联合右心声学造影对肺动脉压正常的慢性阻塞性肺疾病患者右心室功能的评估价值

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  • NETL
  • NSTL
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目的:探讨二维斑点追踪超声显像(2D-STE)联合右心声学造影(C-TTE)对肺动脉压正常的慢性阻塞性肺疾病(COPD)患者右心室功能的评估价值。方法:选取2022年7月-2024年2月在长沙市第一医院就诊并诊断为肺动脉压正常的COPD患者50例作为研究组，另选取同期50例健康患者作为对照组。所有患者均完善常规超声、2D-STE及C-TTE检查。比较两组常规超声、2D-STE及C-TTE参数的差异。结果:研究组常规超声参数右心室厚度(RVWH)明显高于对照组，A峰明显低于对照组(P＜0。05)。研究组2D-STE参数右心室游离壁长轴应变功能(基底段、心尖段、中间段及整体)均明显低于对照组(P＜0。05)。研究组C-TTE参数右心室舒张末期面积(RVEDA)、收缩末期面积(RVESA)及面积变化分数(FAC)均明显高于对照组(P＜0。05)。结论:2D-STE联合C-TTE对肺动脉压正常的COPD患者右心室功能具有较高的评估价值，可为肺动脉压正常的COPD患者临床治疗提供指导。
Value of Two-Dimensional Speckle Tracking Echocardiography Combined with Contrast-Transthoracic Echocardiography in Evaluating Right Ventricular Function in Patients with Chronic Obstructive Pulmonary Disease with Normal Pulmonary Artery Pressure
Objective:To investigate the value of two-dimensional speckle tracking echocardiography(2D-STE)combined with contrast-transthoracic echocardiography(C-TTE)in evaluating right ventricular function in patients with chronic obstructive pulmonary disease(COPD)with normal pulmonary artery pressure.Methods:From July 2022 to February 2024,50 patients with COPD who were diagnosed with normal pulmonary artery pressure in Changsha First Hospital were selected as the research group,and another 50 healthy patients in the same period were selected as the control group.All patients underwent routine ultrasound,2D-STE and C-TTE examinations.The differences of conventional ultrasound,2D-STE and C-TTE parameters between the two groups were compared.Results:The right ventricular wall hypertrophy(RVWH)of the research group was significantly higher than that of the control group,and the A peak was significantly lower than that of the control group(P＜0.05).The 2D-STE parameters of the right ventricular free wall long-axis strain function(basal segment,apical segment,middle segment and whole)in the research group were significantly lower than those in the control group(P＜0.05).The C-TTE parameters of right ventricular end-diastolic area(RVEDA),right ventricular end-systolic area(RVESA)and fractional area change(FAC)in the research group were significantly higher than those in the control group(P＜0.05).Conclusion:2D-STE combined with C-TTE has a high evaluation value for right ventricular function in COPD patients with normal pulmonary artery pressure,which can provide guidance for clinical treatment of COPD patients with normal pulmonary artery pressure.

Two-dimensional speckle tracking echocardiographyContrast-Transthoracic EchocardiographyPulmonary artery pressureChronic obstructive pulmonary diseaseRight ventricular function

杨见青、雷国龙、王巧凤、胡庆龄、刘萍、李莉英、唐奇

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长沙市第一医院超声科 湖南长沙 410000

长沙市第一医院呼吸与危重症科 湖南长沙 410000

长沙市第一医院心内科 湖南长沙 410000

二维斑点追踪超声显像 右心声学造影 肺动脉压 慢性阻塞性肺疾病 右心室功能

湖南省卫生健康委科研计划项目长沙市卫生健康委科研计划项目

202109021008KJ-B2023060

2024

10.13241/j.cnki.pmb.2024.17.010

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子：0.755
ISSN：1673-6273
年,卷(期)：2024.24(17)