超声心动图评估肝硬化患者心脏病变的研究进展  

Advances in the study of echocardiographic assessment of cardiac lesions in patients with liver cirrhosis

作　　者：许玉洁 夏怡浓 陈卫华 XU Yu-jie;XIA Yi-nong;CHEN Wei-hua(The First Clinical Medical School of Gannan Medical University;Department of Ultrasound,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一临床医学院 [2]赣南医科大学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》2024年第7期691-697,共7页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：肝硬化性心肌病(Cirrhotic cardiomyopathy,CCM)是指终末期肝病患者在排除其他既往心脏病的基础上,因系统血流动力学改变引起的慢性心功能不全。既往研究表明,超负荷容量及超动力循环可导致肝硬化患者心脏结构及功能改变。因此,应用超声心动图早期评估其心脏病变,以适时干预病变发生发展,是改善预后的核心环节。本文就近年来各种超声心动图技术评估肝硬化患者的心脏结构、功能及血流动力学等研究进展进行综述,并提出联合多种超声心动图新技术能相互取长补短,提供更全面的定量分析。Cirrhotic cardiomyopathy(CCM)is a chronic cardi ac insufficiency caused by systemic hemodynamic changes in patients with end-stage liver disease in the absence of other previous heart disease.Previous studies have shown that volume overload and hyperdynamic circulation can lead to structural and functional changes in the heart of cirrhotic patients.Therefore,early assessmeent of cardiac lesions by echocardiography and timely intervention are central to improving the prognosis of patients with cirrhosis.In this article will,we review the progress of various echocardio graphic techniques in recent years to assess the cardiac structure,function and hemodynamics of cirrhotic patients,and suggesting that com‐bining various echocardiographic techniques can complement each other to provide a more comprehensive quantitative analysis.

关 键 词：肝硬化 肝硬化性心肌病 组织多普勒成像 斑点追踪成像技术 实时三维超声心动图 无创心肌做功 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.2[医药卫生—诊断学]