朱好辉,袁建军,曹立强,陈伟霞,周东风,余怡琳,贾琼.组织多普勒成像评价艾滋病患者右室功能的临床研究[J].中国医学影像技术,2006,22(5):698~700
组织多普勒成像评价艾滋病患者右室功能的临床研究
Evaluation of right ventricle function by tissue Doppler imaging in patients with AIDS
投稿时间:2005-12-30  修订日期:2006-02-05
DOI:
中文关键词:  组织多普勒成像  三尖瓣  右心室功能  获得性免疫缺陷综合征
英文关键词:Tissue Doppler imaging  Tricuspid valve  Ventricular function, right  Acquired immunodeficiency syndrome
基金项目:该课题受河南省医药卫生科技攻关计划项目资助(豫卫科20042707)。
作者单位E-mail
朱好辉 河南省人民医院超声科,河南 郑州 450003  
袁建军 河南省人民医院超声科,河南 郑州 450003 yuan81@tom.com 
曹立强 河南省人民医院超声科,河南 郑州 450003  
陈伟霞 河南省上蔡县人民医院超声科,河南 上蔡 463000  
周东风 河南省上蔡县人民医院超声科,河南 上蔡 463000  
余怡琳 河南省上蔡县人民医院超声科,河南 上蔡 463000  
贾琼 河南省上蔡县人民医院超声科,河南 上蔡 463000  
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中文摘要:
      目的 应用组织多普勒成像技术(TDI)测量三尖瓣环运动速度评价艾滋病(AIDS)患者右室功能,探讨组织多普勒评价AIDS患者右室功能的临床价值。方法 对72例AIDS患者行超声心动图检查,测量各项常规参数。应用TDI采集三尖瓣环三个位点的运动频谱,测量各位点的收缩期峰值速度(Vs)、舒张早期峰值速度(Ve)、舒张晚期峰值速度(Va),计算右心平均 s、 e、 a。并与健康对照者进行对照分析。结果 病例组三尖瓣环各位点Vs、Ve、Va及 s(11.33±1.91) cm/s、 e(11.69±2.41) cm/s、 a(10.61±2.45) cm/s较对照组明显降低,差异具统计学意义。结论 AIDS患者右室心肌的收缩和舒张均较正常人减弱,右室功能降低。TDI可准确、定量、无创地评价AIDS患者右室功能。
英文摘要:
      Objective To study the characteristics of tricuspid annulus movement with tissue Doppler imaging (TDI) and discuss its clinical value in assessing right ventricle function in the patients with AIDS. Methods Tissue Doppler velocity mode was used to observe tricuspid annulus movement on apical four-chamber view (AP-4CV) and apical right heart two chamber view (AP-RH-2CV) in 72 patients with AIDS and 64 healthy adults. The early peak diastolic velocity (Ve), later peak diastolic velocity (Va) and peak systolic velocity (Vs) in the three points were measured, and s, e, a were calculated. Results Vs, Ve, Va value in all sites of tricuspid annulus and s (11.33±1.91) cm/s, e (11.69±2.41) cm/s, a (10.61±2.45) cm/s decreased obviously in AIDS group, and there was significant difference between two groups. Conclusion The right ventricle function, in terms of contraction and relaxation, was decreased in the patients with AIDS comparing with healthy group. TDI is a useful tool to assess right ventricle function in the patients with AIDS.
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