影像研究与医学应用2024,Vol.8Issue(3) :35-37.

超声心动图在主动脉瓣膜病变患者经导管主动脉瓣置换术治疗效果评估中的应用价值

Application value of echocardiography in the evaluation of transcatheter aortic valve replacement in patients with aortic valvular disease

郭雷 陈春强
影像研究与医学应用2024,Vol.8Issue(3) :35-37.

超声心动图在主动脉瓣膜病变患者经导管主动脉瓣置换术治疗效果评估中的应用价值

Application value of echocardiography in the evaluation of transcatheter aortic valve replacement in patients with aortic valvular disease

郭雷 1陈春强1
扫码查看

作者信息

  • 1. 聊城市第二人民医院心脏超声科 山东 聊城 252601
  • 折叠

摘要

目的:探讨超声心动图在主动脉瓣膜病变患者经导管主动脉瓣置换术治疗效果评估中的应用价值.方法:选择 2021 年 6 月—2023 年 6 月聊城市第二人民医院收治的 144 例拟行经导管主动脉瓣置换术治疗的主动脉瓣膜病变患者,根据术前主动脉瓣病变类型,将患者分为关闭不全组、狭窄组,术前、术后使用超声心动图检查评估,分析超声心动图在主动脉瓣膜病变患者经导管主动脉瓣置换术治疗效果评估中的应用价值.结果:关闭不全组术后 1 个月左心室收缩末期容积、左心室舒张末期容积、主动脉瓣反流量、主动脉瓣有效反流口、主动脉瓣反流面积、主动脉瓣反流缩流径均低于术前,差异有统计学意义(P<0.05).狭窄组术后1个月主动脉瓣有效瓣口面积增加,最大跨瓣压差、主动脉瓣上最大流速低于术前,差异有统计学意义(P<0.05).结论:超声心动图在主动脉瓣膜病变患者经导管主动脉瓣置换术治疗效果评估中具有一定的应用价值.

Abstract

Objective To explore the application value of echocardiography in evaluating the therapeutic effect of transcatheter aortic valve replacement in patients with aortic valve disease.Methods A total of 144 patients with aortic valve disease who were to be treated with transcatheter aortic valve replacement in Liaocheng Second People's Hospital from June 2021 to June 2023 were selected.According to the types of preoperative aortic valve lesions,the patients were divided into incomplete closure group and stenosis group,and were evaluated by echocardiography before and after surgery,to analyze the value of echocardiography in evaluating the effect of transcatheter aortic valve replacement in patients with aortic valvular disease.Results The results showed that the left ventricular end systolic volume,left ventricular end diastolic volume,aortic valve regurgitation,effective aortic valve regurgitation port,aortic valve regurgitation area,and aortic valve regurgitation diameter in the group with incomplete closure were all lower than before surgery,and the differences were statistically significant(P<0.05).The effective aortic valve orifice area increased in the stenosis group one month after surgery,and the maximum cross valve pressure difference and maximum velocity above the aortic valve were lower than that before surgery,with statistically significant differences(P<0.05).Conclusion Echocardiography has certain application value in evaluating the therapeutic effect of transcatheter aortic valve replacement in patients with aortic valve disease.

关键词

主动脉瓣膜病变/超声心动图/经导管主动脉瓣置换术

Key words

Aortic valve disease/Echocardiogram/Transcatheter aortic valve replacement

引用本文复制引用

出版年

2024
影像研究与医学应用

影像研究与医学应用

ISSN:
参考文献量12
段落导航相关论文