实时三维超声心动图量化评价冠脉搭桥手术效果的临床研究  

Clinical Study of Quantitative Evaluation of Coronary Artery Bypass Grafting by Real-Time Three-Dimensional Echocardiography

作　　者：韩超[1] HAN Chao(Department of Radiology,Yantai Mountain Hospital,Yantai Shandong 264001,China)

机构地区：[1]烟台市烟台山医院超声科,山东烟台264001

出　　处：《中国医疗设备》2021年第8期71-73,105,共4页China Medical Devices

摘　　要：目的探讨实时三维超声心动图(Real-Time Three-Dimensional Echocardiography,RT-3DE)量化评价冠脉搭桥手术(Coronary Artery Bypass Grafting,CABG)效果的应用价值。方法收集2017年1月至2018年5月期间在本院行CABG的35例患者(CABG组)和同期20例健康志愿者作为参照(参照组),两组入组后均行RT-3DE检查,CABG术后均随访3月,借助RT-3DE量化评估手术前后心室结构和心功能变化情况。结果RT-3DE检查显示CABG组LVM高于参照组,而LVRI、LVEF、gPFR、gPER均明显偏低(P<0.05),CABG组术后3月失访2例,RT-3DE显示术后1周时LVM、LVRI、LVEF、gPFR、gPER较术前变化不显著(P>0.05),术后1月和3月时上述指标均较术前、术后1周显著改善(P<0.05)。结论RT-3DE可作为CABG手术效果的有效量化评估手段。Objective To evaluate the value of real-time three-dimensional echocardiography(RT-3DE)in quantitative evaluation of coronary artery bypass grafting(CABG).Methods A total of 35 CABG patients(CABG group)from January 2017 to May 2018 were enrolled in this study.A total of 20 healthy volunteers were enrolled in the same period as the control group.Both groups were examined by RT-3DE.All patients were followed up for 3 months after CABG.Ventricular structure and cardiac function were evaluated quantitatively by RT-3DE before and after operation.Results RT-3DE examination showed that LVM in CABG group was higher than that in the reference group,while LVRI,LVEF,gPFR and gPER were significantly lower(P<0.05).Two cases in CABG group were lost to follow-up 3 months after operation.RT-3DE showed no significant changes in LVM,LVRI,LVEF,gPFR and gPER at 1 week after surgery(P>0.05),while the above indexes were significantly improved at 1 month and 3 months after surgery(P<0.05).Conclusion RT-3DE can be used as an effective quantitative evaluation method for CABG operation.

关 键 词：实时三维超声心动图 冠脉搭桥手术 心室结构 心功能 

分 类 号：R540.45[医药卫生—心血管疾病]