王月爱,夏稻子,林萍,崔洪岩.应用组织追踪法评价左乳腺癌放疗早期左室收缩功能[J].中国医学影像技术,2006,22(10):1573~1575
应用组织追踪法评价左乳腺癌放疗早期左室收缩功能
Tissue tracking in assessment of left ventricle early systolic function in patients underwent radiation therapy for left breast cancer
投稿时间:2006-06-07  修订日期:2006-09-28
DOI:
中文关键词:  组织追踪法  乳腺肿瘤  放射治疗  收缩功能  心室
英文关键词:Tissue tracking  Breast neoplasms  Radiotherapy  Systolic function  Heart ventricles
基金项目:
作者单位E-mail
王月爱 大连医科大学附属第二医院超声科,辽宁 大连 116027  
夏稻子 大连医科大学附属第二医院超声科,辽宁 大连 116027 xiadaozisina.com 
林萍 大连医科大学附属第二医院超声科,辽宁 大连 116027  
崔洪岩 大连医科大学附属第二医院超声科,辽宁 大连 116027  
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中文摘要:
      目的 探讨应用组织追踪法(TT)测定左室壁收缩期位移评价左侧乳腺癌放疗后早期左室收缩功能的价值。方法 35例左侧乳腺癌术后患者按照放疗进程分为3组:A组,放疗前;B组,放疗时间为3周、累积剂量30 Gy;C组,放疗时间为5周、累积剂量50 Gy。比较3组患者心脏左侧壁、后间隔、前壁、下壁、前间隔、后壁的基底段及中间段12个位点的收缩期最大位移。结果 C组前壁、前间隔各位点的收缩期位移低于A组且差异具有非常显著性意义(P<0.01);C组前壁、前间隔各位点的收缩期位移低于B组且差异具有显著性意义(P<0.05); B组前壁、前间隔各位点的收缩期位移略低于A组,但差异无显著性意义(P>0.05);左侧壁、后间隔、下壁、后壁各位点收缩期位移在3组之间比较,差异均无显著性意义(P>0.05)。结论 组织追踪法可无创、敏感、客观地评价左侧乳腺癌放疗早期左室收缩功能。
英文摘要:
      Objective To evaluate the value of tissue tracking (TT) in detecting left breast cancer radiotherapy-induced decrease of left ventricle early systolic function by measuring the systolic displacement of left ventricle. Methods TT were performed in 35 patients underwent radiotherapy for left breast cancer. According to the process of radiotherapy, the patients were divided into three groups(35 patients in groups A, B, C respectively), group A(before radiation treatment), group B(radiation dosage of 30 Gy, 3 weeks) and group C(radiation dosage of 50 Gy, 5weeks). Systolic displacement were compared among three groups. Results Systolic displacement of group C in anterior wall, anterior septal were significant lower than those in group A(P<0.01); systolic displacement of group C in anterior wall, anterior septal were lower than those in group B(P<0.05); systolic displacement of group B in anterior wall, anterior septal were slightly lower than those in group A without statistical difference(P>0.05); systolic displacement in left lateral wall, posterior septal, inferior wall, posterior wall had no significant difference among three groups(P>0.05).Conclusion TT is a nonvasive, sensitive, Objective method to assess left breast cancer radiotherapy-induced early systolic function of left ventricle.
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