围绝经期与绝经早期妇女心脏左室功能的组织追踪成像及应变率成像特点

发布时间：2018-04-12 07:02

本文选题：绝经 + 组织追踪成像　；参考：《山东医药》2015年41期

【摘要】：目的探讨围绝经期与绝经早期妇女心脏左室功能的组织追踪成像(TTI)、应变率成像(SRI)特点。方法选择绝经期女性137例,其中围绝经期组69例,绝经早期组68例;均行常规超声心动图检测,测量E、A峰血流速度,计算E/A;采用TTI、SRI测量后间隔与侧壁、下壁与前壁、后壁与前间隔的二尖瓣环处收缩期峰值位移(D)、平均位移(mean D)及心室收缩期、心室舒张早期、心房收缩期心肌的峰值应变率(SRs、SRe、SRa)、SRe/SRa。结果与围绝经期组比较,绝经早期组女性E值、E/A降低(P均0.01),左室各壁二尖瓣环处SRs、SRe/SRa降低(P均0.05),左室多数室壁二尖瓣环处D值和mean D值降低(P0.05或0.01)。结论绝经早期妇女左室舒缩功能较围绝经期妇女受损严重,且其心肌局部收缩和舒张功能变化早于心脏整体功能变化。
[Abstract]:Objective to investigate the characteristics of left ventricular function in peri-menopausal and postmenopausal women by tissue tracing imaging (TTI) and strain rate imaging (SRI).Methods 137 postmenopausal women were selected, including 69 cases in peri-menopausal period group and 68 cases in early menopausal group.The peak systolic displacement at mitral annulus in the posterior wall and anterior septum (mean mean D) and the peak strain rate of the myocardium during ventricular contraction, early ventricular diastole and atrial contraction were observed.Results compared with the peri-menopausal group, the E / A value of early menopausal women decreased by 0.01g / A, the SRS / R / SRa decreased by 0.05P at the mitral annulus of left ventricular wall, and the D value and mean D value at mitral annulus of left ventricular wall decreased by P 0.05 or 0.01g / L respectively.Conclusion the left ventricular systolic and diastolic function of early menopausal women is more serious than that of peri-menopausal women, and the changes of myocardial regional systolic and diastolic function are earlier than that of global cardiac function.
【作者单位】：天津中医药大学;天津中医药大学第二附属医院;
【分类号】：R445.1;R541

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