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正常犬的左室短軸應(yīng)變特點及旋轉(zhuǎn)參數(shù)分析

Left ventricular fractional strain characteristics androtation in healthy adult canine

作者: 蒲利紅  孫琪瑋  楊婭  劉國文  李嶸娟  楊嬌 
單位:首都醫(yī)科大學(xué)附屬北京安貞醫(yī)院超聲心動圖一部<p>(北京100029)</p><p></p>
關(guān)鍵詞: 斑點追蹤;左心室;短軸應(yīng)變;旋轉(zhuǎn);正常犬 
分類號:R318.04
出版年·卷·期(頁碼):2017·36·4(338-342)
摘要:

目的 探討二維斑點追蹤技術(shù)評價正常犬左室短軸應(yīng)變的可行性及短軸應(yīng)變參數(shù)與左室收縮功能的關(guān)系。方法 正常成年犬27只,二維斑點追蹤顯像技術(shù)測量左心室徑向應(yīng)變(radial strain,RS)、圓周應(yīng)變(circumferential strain,CS)和旋轉(zhuǎn)(rotation,Rot)角度等參數(shù),Simpson法測量左心室射血分數(shù)(left ventricular ejection fraction,LVEF),并分析以上應(yīng)變參數(shù)與Simpson法所測LVEF的相關(guān)性。結(jié)果 左室收縮期RS峰值為正值,中間段最大,心尖段最小,基底段居中;CS峰值為負值,從基底段至心尖段絕對值逐漸增大;Rot絕對值心尖段最大,基底段次之,中間段最小(P<0.05);收縮期內(nèi)膜下心肌RS、CS、Rot均顯著高于外膜下心肌(P<0.05)。左室短軸徑向、圓周整體應(yīng)變及旋轉(zhuǎn)參數(shù)與Simpson法所測LVEF相關(guān)(r值分別為0.72、0.87、0.80,P<0.05)。結(jié)論 二維斑點追蹤技術(shù)可準(zhǔn)確測量正常犬左室短軸應(yīng)變,左室短軸徑向、圓周整體應(yīng)變和旋轉(zhuǎn)參數(shù)是反映左室整體收縮功能的有效指標(biāo)。

Objective To explore the feasibility of two-dimensional speckle tracking imaging evaluating healthy adult canines’ left ventricular fractional strain and rotation,and the relationship between strain parameters and left ventricular systolic function.Methods We analyzed the fractional strain and rotation(RS,CS,Rot)of 27 healthy adult canines by using 2DT online analysis software,and evaluated the correlation of these parameters and left ventricular systolic function with Simpson method.Results Left ventricular systolic RS was positive,and RS of papillary muscle level were significantly increased compared with basal and apical level.CS was negative,and the absolute value of the basal segment to apical segment gradually increased.The maximum Rot level was apical level,while the minimum level was papillary muscle level (P<0.05).RS,CS and Rot of different segments of inner layers showed higher than those of the outer layers (all P<0.05).GRS,GCS and Rot correlated well with left ventricular systolic function by Simpson method (r values were 0.72,0.87,0.80 respectively,all P <0.05).Conclusions Two-dimensional speckle tracking imaging can evaluate healthy adult canine’s left ventricular fractional strain and rotation accurately.Fractional global strain and rotation reflect left ventricular systolic function well.

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