超声心动图对室壁瘤切除术后左心功能的初步研究  

The Preliminary Study of Echocardiographic Assessment of Left Ventricular Function after Aneurysmectomy

作　　者：陈立军[1] 李永青 吴清玉[1] 李守平[1] 杨浣宜[1] 刘汉英[1] 

机构地区：[1]北京中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院超声科

出　　处：《中国超声医学杂志》1998年第8期16-18,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：１１例患者于室壁瘤切除术前后进行了超声心动图检查。其中男１０例，女１例，年龄３９至６８岁。心尖部室壁瘤９例，下后壁室壁瘤２例。１０例患者室壁瘤切除术（ＬＶＡ）的同时进行了ＣＡＢＧ。ＥＤＶ、ＥＤＶＩ、ＥＳＶ、ＥＳＶＩ和ＳＶ于ＬＶＡ后明显减少（Ｐ＜０．０５－０．００１），ＨＲ增加，ＥＦ、ＣＯ和ＣＩ无明显变化。二尖瓣血流频谱显示所有患者舒张功能类型和Ｅ峰流速、Ｅ峰压差、Ａ峰流速、Ａ峰压差及ＩＶＲＴ手术前后均没有明显改变（Ｐ＞０．０５）。所以，ＬＶＡ可明显减低室壁瘤患者的ＥＤＶ、ＥＤＶＩ、ＥＳＶ、ＥＳＶＩ，使上述指标趋于正常；ＳＶ可出现下降但ＥＦ、ＣＯ和ＣＩ无变化。二尖瓣血流频谱的变化显示ＬＶＡ对左室舒张功能无明显影响。上述结论还有待进一步证实。Eleven patients with left ventricular aneurysm were studied before and after aneurysmectomy(LVA).There were 9 apical and 2 posterior aneurysms.10 patients also underwent CABG during LVA.EDV,EDVI,ESV,ESVI and SV were significantly reduced after LVA(P<0 05-0 001).EF,CO and CI did not change significantly.The mitral valve velocity profile,IVRT and the pattern of diastolic function did not change either.We conclude that LVA may reduce EDV,EDVI,ESV,ESVI,SV can be reduced,but EF,CO and CI did not change.The mitral valve velocity profile showed LVA has no effect on LV diastolic function.The results remained further investigation.

关 键 词：室壁瘤 超声心动图 心功能 心脏肿瘤 

分 类 号：R732.105[医药卫生—肿瘤] R540.45[医药卫生—临床医学]