高原地区藏族人群肝棘球蚴病患者右心系统的超声心动图特征分析  

Echocardiographic characteristics of right heart in tibetan patients with hepatic echinococcosis

作　　者：周秘 刘军[2] 尹立雪[2] 张文军[1] 兰海 许达 谭静[1] ZHOU Mi;LIU Jun;YIN Lixue;ZHANG Wenjun;LAN Hai;XU Da;TAN Jing(Department of Ultrasound,Wenjiang Hospital Affiliate Sichuan Provincial People’s Hospital,Chengdu 611130,China)

机构地区：[1]四川省人民医院温江医院成都市温江区人民医院超声医学科,成都市611130 [2]四川省医学科学院四川省人民医院超声医学研究所

出　　处：《临床超声医学杂志》2019年第5期336-339,共4页Journal of Clinical Ultrasound in Medicine

基　　金：四川省科技计划项目(2018SZ0231)

摘　　要：目的探讨高原地区藏族人群肝棘球蚴病患者右心结构和功能改变的超声心动图特征。方法随机选取经超声诊断为肝棘球蚴病的高原地区藏族患者113例,其中多房棘球蚴组(AE组)62例,细粒棘球蚴组(CE组)51例,另选同期生活于同一地区且经超声检查未发现肝脏病变的藏族居民49例为对照组。均行常规超声心动图检查,测量并比较各组右心结构和功能相关参数,统计肺动脉压力增高比率。结果 AE组和CE组右室前后径、右室横径、肺动脉前向血流速度、肺动脉前向血流压差均低于对照组,差异均有统计学意义(均P<0.05),但AE组与CE组上述参数比较差异均无统计学意义;CE组舒张早期三尖瓣血流速度与三尖瓣环运动速度比值高于对照组,差异有统计学意义(P<0.05);AE组和CE组三尖瓣环收缩期位移均低于对照组,差异均有统计学意义(均P<0.05)。AE组、CE组和对照组肺动脉压力增高比率分别为38%、35%和31%,差异无统计学意义。结论超声心动图可检出高原地区藏族人群肝棘球蚴病患者右室缩小和右心舒缩功能受损,具有一定的临床应用价值。Objective To explore the echocardiographic characteristics of right heart in tibetan patients with hepatic echinococcosis in Tibetan.Methods One hundred and thirteen tibetan patients with hepatic echinococcosis diagnosed by ultrasound were randomly selected,including 62 cases of alveolar echinococcosis(AE group),51 cases of cystic echinococcosis(CE group),and 49 tibetan residents living in the same area were selected in control group.The echocardiographic parameters of right heart were routinely measured,the rate of increased pulmonary arterial pressure was calculated.Results The right ventricular anteroposterior diameter,right ventricular transverse diameter(RVTD),pulmonary artery forward flow velocity and pulmonary artery forward flow pressure were significant lower in the AE group and the CE group than those in the control group(all P<0.05),but there was no significantly difference between the AE group and the CE group.The overall distribution in E/e ratio and tricuspid annular plane systolic excution(TAPSE)were different among three groups,and the E/e ratio in CE group was significantly higher than that in control group(P<0.05),the TAPSE in AE group and CE group were significantly lower than that in control group(both P<0.05).The rate of increased pulmonary arterial pressure of AE group,CE group and control group were 38%,35% and 31%,respectively,there was no significomt difference.Conclusion Echocardiography can detect the decrease of right ventricular diameter and damage of right ventricular function in Tibetan patients with hepatic echinococcosis,which has high clinical application value.

关 键 词：超声心动描记术 肝棘球蚴病 心室结构 右 心室功能 右 

分 类 号：R540.45[医药卫生—心血管疾病] R535[医药卫生—内科学]