三维超声心动图联合二维斑点追踪技术对尿毒症血液透析患者右心室收缩功能的评价  

Evaluation of three-dimensional echocardiography combined with two-dimensional speckle tracking imaging on right ventricular systolic function in uremic hemodialysis patients

作　　者：王菊芳[1] WANG Jufang(Color Doppler Ultrasound Room,the Second People's Hospital of Jiyuan City,Jiyuan 459000,China)

机构地区：[1]济源市第二人民医院彩超室,河南济源459000

出　　处：《临床医学研究与实践》2024年第14期100-103,共4页Clinical Research and Practice

摘　　要：目的探究三维超声心动图(3DE)联合二维斑点追踪技术(2D-STI)对尿毒症血液透析患者右心室收缩功能的评价作用。方法选取我院收治的94例尿毒症血液透析患者,其中发生心血管疾病31例(心血管疾病组),未发生心血管疾病63例(无心血管疾病组),同期选取50例健康者作为对照组,均行3DE及2D-STI检测。比较各组参数变化情况。结果三组的右心室舒张末期容积(RVEDV)、右心室收缩末期容积(RVESV)、右心室每搏量(RVSV)、右心室游离壁三维纵向应变(3D-RV FWLS)及右心室游离壁二维整体纵向应变[2DGLS(F)]比较:心血管疾病组>无心血管疾病组>对照组(P<0.05)。三组的右心室三维射血分数(3DRVEF)、右心室面积变化分数(RVFAC)、三尖瓣环收缩期位移(TAPSE)、右心室游离壁基底段纵向应变(RVFWLS-B)、右心室游离壁中间段纵向应变(RVFWLS-M)、右心室游离壁心尖段纵向应变(RVFWLS-AP)比较:心血管疾病组<无心血管疾病组<对照组(P<0.05)。Spearman相关性分析显示,心血管疾病与RVEDV、RVESV、RVSV、3D-RV FWLS、2DGLS(F)呈正相关,与3DRVEF、RVFAC、TAPSE、RVFWLS-B、RVFWLS-M、RVFWLS-AP呈负相关(P<0.05)。结论3DE联合2D-STI可作为尿毒症患者右心室收缩功能评价的有效方式。Objective To explore the evaluation role of three-dimensional echocardiography(3DE)combined with two-dimensional speckle tracking imaging(2D-STI)on right ventricular systolic function in uremic hemodialysis patients.Methods A total of 94 uremic hemodialysis patients admitted in our hospital were selected,including 31 cases of cardiovascular disease(cardiovascular disease group)and 63 cases of non-cardiovascular disease(non-cardiovascular disease group).At the same time,50 healthy objects were selected as control group.3DE and 2D-STI were performed on all objects.The changes of parameters in each group were compared.Results Comparison of right ventricular end-diastolic volume(RVEDV),right ventricular end-systolic volume(RVESV),right ventricular stroke volume(RVSV),3D right ventricular free wall longitudinal strain(3D-RV FWLS)and 2D global longitudinal strain of free wall[2DGLS(F)]in the three groups:the cardiovascular disease group>the non-cardiovascular disease group>the control group(P<0.05).Comparison of 3D right ventricular ejection fraction(3DRVEF),right ventricular fractional area change(RVFAC),tricuspid annulus plane systolic excursion(TAPSE),right ventricular free wall longitudinal strain-basal(RVFWLS-B),right ventricular free wall longitudinal strain-middle(RVFWLS-M),right ventricular free wall longitudinal strain-apical(RVFWLS-AP)in the three groups:the cardiovascular disease group<the non-cardiovascular disease group<the control group(P<0.05).Spearman correlation analysis showed that cardiovascular disease was positively correlated with RVEDV,RVESV,RVSV,3D-RV FWLS and 2DGLS(F),and negatively correlated with 3DRVEF,RVFAC,TAPSE,RVFWLS-B,RVFWLS-M and RVFWLS-AP(P<0.05).Conclusion The 3DE combined with 2D-3E can be used as an effective way to evaluate right ventricular systolic function in uremic patients.

关 键 词：三维超声心动图 二维斑点追踪技术 尿毒症 血液透析 右心室 收缩功能 

分 类 号：R540.45[医药卫生—心血管疾病]