超声心动图新技术评价川崎病心功能的应用价值  

Application value of new echocardiography technology in evaluating the heart function of Kawasaki disease

作　　者：张火根 游宇光[2] ZHANG Huo-gen;YOU Yu-guang(Gannan Medical University;Department of Ultrasound,the First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院 [2]赣南医学院第一附属医院超声医学科,江西赣州341000

出　　处：《赣南医学院学报》2020年第7期701-705,共5页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：川崎病(KD)是一种累及全身中小动脉为主的多系统性免疫性血管炎症,近年来,其在国内的发病率逐渐增高,尤以儿童最常见,已成为儿童后天性心脏病的最常见病因。传统的二维超声心动图多是通过测量分析射血分数及心肌增厚率等指标来评价心脏局部心肌的运动功能改变,但由于其角度依赖性和主观性等局限,对临床定性或定量评价川崎病心功能改变的意义不大。目前,各种超声心动图的新技术(如多普勒组织成像、斑点追踪成像、三维超声心动图等)不断应用于川崎病心功能的诊断与评估过程中。Kawasaki disease(KD)is a kind of multi-system immune vascular inflammation involving small and medium arteries in the whole body.In recent years,its incidence has gradually increased in China,especially in children.It has become the most common cause of children’s acquired heart disease.The traditional two-dimensional echocardiography mostly evaluates the change of regional cardiac function by measuring and analyzing indexes such as ejection fraction and myocardial thickening rate.However,due to the limitation of angle dependence and subjectivity,it has little meaning for qualitative or quantitative evaluation of the change of cardiac function in Kawasaki disease.At present,a variety of new echocardiography technologies(such as Doppler tissue imaging,spot tracking imaging,three-dimensional echocardiography,etc.)are continuously applied to the diagnosis and evaluation of heart function in Kawasaki disease.

关 键 词：川崎病 多普勒组织成像 Tei指数评估 二维斑点追踪显像技术 三维斑点追踪显像技术 实时三维超声心动图 斑点追踪 心功能 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.4[医药卫生—诊断学]