超声心动图评估左心房重构及逆重构的研究进展  

Research progress on echocardiography evaluation for left atrial remodeling and reverse remodeling

作　　者：徐震一 何亚峰 马小静 夏娟[1,2] 潘天浩 何靖怡 XU Zhenyi;HE Yafeng;MA Xiaojing;XIA Juan;PAN Tianhao;HE Jingyi(Department of Ultrasound,Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology,Wuhan Clinical Medical Research Center of Cardiovascular Imaging,Wuhan,Hubei 430022,P.R.China;School of Medicine,Wuhan University of Science and Technology,Wuhan,Hubei 430065,P.R.China)

机构地区：[1]武汉科技大学附属武汉亚洲心脏病医院超声科/武汉市心血管影像临床医学研究中心,武汉430022 [2]武汉科技大学医学部医学院,武汉430065

出　　处：《华西医学》2025年第4期645-648,共4页West China Medical Journal

基　　金：武汉市科技局知识创新专项(2023020201010204)。

摘　　要：随着心血管疾病研究的深入,左心房重构(left atrial remodeling,LAR)和左心房逆重构(left atrial reverse remodeling,LARR)已成为重要的研究热点,其与多种不良心血管病理改变密切相关。超声心动图作为一种无创、便捷的检查手段,在LAR和LARR的诊断、治疗监测及预后评估中发挥着至关重要的作用。该文综述了超声心动图评估LAR和LARR的研究进展,涉及经胸超声心动图、组织多普勒成像、二维斑点追踪技术和三维斑点追踪技术等,并探讨了其在临床实践中的优势和局限性。With the deepening of research on cardiovascular diseases,left atrial remodeling(LAR)and left atrial reverse remodeling(LARR)have become important research hotspots,closely related to various adverse cardiovascular pathological changes.As a non-invasive and convenient diagnostic tool,echocardiography plays a crucial role in the diagnosis,treatment monitoring,and prognosis evaluation of LAR and LARR.This article reviews the research progress of echocardiography in evaluating LAR and LARR,involving transthoracic echocardiography,tissue Doppler imaging,twodimensional speckle tracking echocardiography,and three-dimensional speckle tracking echocardiography,and explores their advantages and limitations in clinical practice.

关 键 词：左心房重构 左心房逆重构 斑点追踪技术 

分 类 号：R445.1[医药卫生—影像医学与核医学]