组织追踪和应变率成像评价腹主动脉运动特征与冠状动脉病变的关系
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Tissue Tracking and Strain Rate Imaging Evaluation of Relation Between the Kinetic Character of Abdominal Aorta and the Severity of Coronary Artery Lesions
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    摘要:

    目的利用组织追踪和应变率成像检测腹主动脉位移、应变和应变率等运动特征,并与冠状动脉病变程度的关系进行分析。方法应用GE Vivid 7超声诊断仪,对70例健康人(对照组)及69例冠心病患者(冠心病组)进行腹主动脉位移、应变和应变率检测。冠心病组患者以冠状动脉病变支数分为单支病变组和多支病变组2个亚组。结果冠心病组患者腹主动脉前后壁位移、后壁最大应变、前壁应变率s、后壁应变率s、e、a与对照组比较差异均有显著性。单支与多支冠脉病变组比较,腹主动脉前后壁位移、应变、应变率差异均有显著性。结论腹主动脉位移、应变和应变率对冠心病具有预测价值,其变化与冠状动脉病变严重程度相一致。

    Abstract:

    Aim To study the displacement,strain and strain rate of abdominal aorta by tissue tracking and strain rate imaging imaging(SRI) in healthy person and patients with coronary heart disease(CHD).To analyse the correlation between the everity of coronary artery lesions and the kinetic character of abdominal aorta. Methods Tissue tracking and SRI measured by GE Vivid ultrasound diagnostic apparatus were performed in 69 patients with CHD and 70 healthy subjects.All of the patients had accepted coronary angiography and the diagnoses of CHD were confirmed.Patients with CHD were divided into single branch coronary artery lesions group and multi-branch coronary artery lesions group. Results There were significant difference between healthy person and patients with CHD at the displacement of anterior and posterior wall in abdominal aorta,maximum strain of posterior wall in abdominal aorta,the systolic peak strain rate of anterior wall in abdominal aorta and the systolic peak strain rate,the early diastolic peak strain rate and the late diastolic peak strain rate of posterior wall in abdominal aorta.There were also significant difference between single branch and multi-branch coronary artery lesions group at the displacement,strain and strain rate of of anterior and posterior wall in abdominal aorta abdominal aorta. Conclusion The displacement,strain and strain rate of abdominal aorta have prognosticate value for CHD and agreed with the severity of coronary artery lesions in patients with CHD.

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郑孝志,季平,茅红卫.组织追踪和应变率成像评价腹主动脉运动特征与冠状动脉病变的关系[J].中国动脉硬化杂志,2008,16(3):212~214.

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  • 收稿日期:2007-10-18
  • 最后修改日期:2008-02-05
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