二维及三维超声心动图多指标评价肺栓塞规范治疗后右心形态和功能的研究

发布时间：2018-06-13 19:57

本文选题：超声心动图 + Tei指数　；参考：《福建医科大学》2013年硕士论文

【摘要】：目的：运用二维超声心动图(two-dimensional echocardiography,2DE)、组织多普勒成像技术(tissue Doppler imaging, TDI),实时三维超声心动图(real-time threedimensional echocardiography, RT-3DE)评估肺栓塞患者右心室功能,探讨不同方法在临床评价肺栓塞患者治疗前后右心形态及功能、肺动脉压力变化。方法：入选2012年-2013年福建医科大学附属协和医院确诊为肺栓塞的患者30例，均按照肺栓塞治疗指南规范治疗，前后互为对照。所有研究对像行2DE、TDI, RT-3DE检g馑闫溆倚某９娉副辏河倚姆砍ぞ丁⒑峋叮挥倚氖仪昂缶丁⒊ぞ丁⒑峋叮环味鲅沽Γ挥倚氖襎ei指数；三尖瓣环收缩期位移(tricuspidannular plane systolic excursion, TAPSE)；右心室舒张期末容积（right ventricularend-diastole volume，RVEDV）；右心室收缩期末容积(right ventricular end-systolicvolume, RVESV)及右心室射血分数(right ventricular ejection fraction, RVEF)。对所得数据进行统计学比较分析。结果:肺栓塞溶栓或取栓术治疗后2周的随访中。右心房长径、横径未见明显缩小，右心室前后径、长径、横径较治疗前均有明显缩小；肺动脉压力明显降低；降低；右室射血分数较治疗前增大。（P0.05-0.01）结论:二维超声心动图常规指标、Tei指数、三尖瓣环收缩期位移及实时三维超声心动图能有效评价肺栓塞患者治疗后右心系统形态和功能变化。
[Abstract]:Objective: to evaluate the right ventricular function in patients with pulmonary embolism by two-dimensional echocardiography, tissue Doppler imaging (TDI) and real-time threedimensional echocardiography (RT-3DEE). To investigate the changes of right heart function and pulmonary artery pressure in patients with pulmonary embolism before and after treatment with different methods. Methods: thirty patients diagnosed as pulmonary embolism in Union Hospital of Fujian Medical University from 2012 to 2013 were treated according to the guidelines of pulmonary embolism treatment. All the subjects studied were 2DETDI.RT-3DE was used to detect? Do you have a certain number of birds? Zonghe Yime Kawamudin 10 Chiu Ding Yi Yi Ne Fou Din 3 Dine 10 Ne Ding ring? The right ventricularend-diastole volume is right ventricularend-diastole volume RVEDVV, right ventricular end-systolic volume (RVESVM) and right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-diastolic volume (RVESVI) and the right ventricular ejection fraction, RVEF.The right ventricular end-diastolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF. The data were compared and analyzed statistically. Results: two weeks after thrombolysis or thrombolysis in pulmonary embolism. The right atrial diameter and transverse diameter were not significantly reduced, the right ventricular anterior and posterior diameter, long diameter and transverse diameter were significantly reduced compared with those before treatment, pulmonary artery pressure was significantly reduced. Right ventricular ejection fraction (RVEF) was higher than that before treatment (P 0.05-0.01) conclusion: the normal index of two-dimensional echocardiography is Tei index. Tricuspid annular systolic displacement and real-time three-dimensional echocardiography can effectively evaluate the changes of right ventricular system morphology and function in patients with pulmonary embolism after treatment.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R445.1;R563.5

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