| 胡孝贞 刘乐斌 禹岳华 张登峰 郭盛兰.超声心动图评价室间隔缺损封堵术前后心功能[J].,2014,14(31):6086-6089 |
| 超声心动图评价室间隔缺损封堵术前后心功能 |
| Evaluation of the Cardiac Function before and after Transcatheter Closure ofVentricular Septal Defect with Echocardiography |
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| DOI： |
| 中文关键词: 超声心动图 室间隔缺损 封堵术 心脏功能 |
| 英文关键词: Echocardiography Ventricular septal defect Occlusion Cardiac function |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨经胸超声心动图(Transthoracic echocardiography, TTE )在评估室间隔缺损(Ventricular septal defect, VSD)封堵术
前、后心脏负荷、功能变化的应用价值。方法：回顾性研究2007 年1月至2012 年8 月广西医科大学一附院62 例成功实施经皮穿
刺VSD 封堵术的患者资料。术前经超声筛查，术后3 天、术后3 个月、术后6 个月及术后1 年分别行TTE 复查，常规测量左房收
缩末期前后径(Left atriumend-systolic diameter, LAESD)、左室舒张末期前后径(Left ventricular end-diastolic diameter, LVEDD)、左
室收缩末期前后径(Left ventricular end-systolic diameter, LVESD)、左室舒张末期容积(Left ventricular end-diastolic volume,
LVEDV)、左室每博输出量( Left ventricular stroke volume, LVSV)、右室舒张末期前后径(Right ventricular end-diastolic diameter,
RVEDD)、主肺动脉中段内径(Main pulmonary artery, MPA)、左室射血分数(Left ventricular ejection fraction, LVEF)、左室短轴缩短
率(Left ventricular fraction shortening, LVFS)、三尖瓣反流压差（Pressure gradient of tricuspid regurgitation, PGTR）。结果：术后3个
月、术后6 个月、术后1 年LAESD、LVEDD、LVESD、LVEDV、LVSV、MPA 均较术前降低(P＜0.05)，且术后3 天LVEDD、
LVEDV、LVSV、MPA均较术前降低(P＜0.05)，术后3 天LAESD、LVESD较术前差异无统计学意义(P＞0.05)；术后3 天PGTR较
术前降低(P＜0.05)，术后3 个月、术后6 个月、术后1 年较术后3 天无统计学差异(P＞0.05)；术前、术后RVEDD、LVEF、LVFS 差
异无统计学意义(P＞0.05)。结论：TTE 对VSD封堵术后心脏功能变化的评估有重要临床指导意义。 |
| 英文摘要: |
| Objective:To evaluate the values by indexes of cardiac load and function before and after ventricular septal defect
(VSD) occlusion using transthoracic echocardiography (TTE).Methods:62 cases with VSD, who were operated by percutanous catheter
occlusion successfully from Jan. 2007 to Aug 2012, were enrolled TTE was performed before and after operation at 3 days, 3 months, 6
months and 1 year. Left atrium end-systolic diameter (LAESD), left ventricular end-diastolic diameter (LVEDD), left ventricular
end-systolic diameter(LVESD), left ventricular end-diastolic volume(LVEDV), left ventricular stroke volume(LVSV), right ventricular
end-diastolic diameter (RVEDD), main pulmonary artery (MPA), left ventricular ejection fraction (LVEF), left ventricular fraction
shortening (LVFS) and Pressure gradient of tricuspid regurgitation (PGTR) were obtained.Results:LAESD, LVEDD, LVESD, LVEDV,
LVSV and MAP reduced at 3 months, 6 months and 1 year after operation compared with pre-VSD closure (P＜0.05). LVEDD,
LVEDV, LVSV and MAP were decreased at 3 days after operation than pre-VSD (P＜0.05). There was no obvious change in LAESD
and LVESD at 3 days after operation than pre-VSD (P＞0.05). PGTR was reduced at 3 days postoperation compared with pre-VSD(P＜
0.05), while there was no obvious decrease at 3 months, 6 months and 1 year postoperation compared with 3 days (P＞0.05). RVEDD,
LVEF and LVFS had no significant change before and after occlusion (P＞0.05).Conclusion:TTE plays an important clinical guiding
role in evaluating cardiac function before and after occlusion of VSD. |
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