| 于慧娟,杨帆,崔前辉.实时三维超声斑点追踪成像在冠心病诊断中的应用价值[J].安徽医药,2022,26(4):774-776. |
| 实时三维超声斑点追踪成像在冠心病诊断中的应用价值 |
| Application value of real-time three-dimensional ultrasound speckle tracking imaging in the diagnosis of coronary heart disease |
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| DOI：10.3969/j.issn.1009-6469.2022.04.030 |
| 中文关键词: 冠心病 超声心动描记术，三维 实时三维超声斑点追踪成像 每搏输出量 心脏容量 |
| 英文关键词: Coronary heart disease Echocardiography,three-dimensional Real-time three-dimensional ultrasound speckle track-ing imaging Stroke volume Cardiac volume |
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| 中文摘要: |
| 目的探讨实时三维超声斑点追踪成像(3D-STI)在冠心病诊断中的应用价值。方法选取 2018年 1月至 2019年 3月在郑州市第七人民医院治疗的冠心病病人 110例(冠心病组)采用冠状动脉(冠脉)病变评分( Gensini评分)标准进行评分，其中轻度病人 32例，中度病人 56例，重度病人 22例，同时选取健康，志愿者 110例作为对照组，给予 3D-STI检查。结果冠心病组左室整体长轴应变( GLS)、左室整体轴向应变( GCS)和左室整体面积应变( GAS)分别为( 14.48±2.19)%、( 16.68±2.11)%和(-27.81±3.02)%，明显低于对照组的( 11.21±2.24)%、( 15.03±2.09)%和( -26.49±2.48)%，P<0.05。冠心病组和对照组左室整体径向应变( GRS)比较差异无统计学意义( P>0.05)。重度病人 GLS、GCS和 GAS分别为( 17.53±3.00)%、( 18.72±2.99)%和( 29.82±3.00)%，明显低于轻度病人的( 13.57±2.21)%、( 16.12±2.81)%和( 27.25±2.80)%和中度病人的( 13.80±2.71)%、( 16.22±2.73)%和( 27.34±2.91)%(P<0.05)。 GLS和 GCS诊断冠心病 ROC曲线下面积分别为 0.847和 0.726，P<0.05，截断值分别为 13.10和 16.50，灵敏性分别为 80.50%和 67.50%，特异性分别为 70.00%和 60.00%。结论 3D-STI在冠心病诊断 |
| 英文摘要: |
| Objective To explore the value of real-time three-dimensional ultrasound speckle tracking imaging (3D-STI) in the diag-nosis of coronary heart disease.Methods One hundred and ten patients with coronary heart disease (CHD group) who were treated in the Seventh People's Hospital of Zhengzhou from January 2018 to March 2019 were selected, Gensini score was used for scoring,among which 32 patients were mild, 56 patients were moderate, and 22 patients were severe, and 110 healthy volunteers were selected as control group, and were examined by 3D-STI.Results Left ventricular global long axis strain (GLS), left ventricular global axial strain (GCS) and left ventricular global area strain (GAS) in CHD group were ( 14.48±2.19)%, ( 16.68±2.11)% and ( 27.81±3.02)%, which were significantly lower than those in control group [( 11.21±2.24)%, ( 15.03±2.09)%, ( 26.49±2.48)%, P < 0.05]. There was no significant difference in global left ventricular radial strain (GRS) between CHD group and control group (P > 0.05). GLS, GCS and GAS in severe patients were (17.53±3.00)%, ( 18.72±2.99)% and ( 29.82±3.00)%, which were significantly lower than those of mild patients [( 13.57±2.21)%, ( 16.12±2.81)% ,( 27.25±2.80)%], which were significantly lower than those of moderate patients [( 13.80±2.71)%, ( 16.22±2.73)%, ( 27.34±2.91)% , P < 0.05]. The area under ROC curve of GLS and GCS for diagnosis of coronary heart dis-ease was 0.847 and 0.726, P < 0.05, the cut-off values were 13.10 and 16.50, the sensitivity were 80.50% and 67.50%, and the spec-ificity were 70.00% and 60.00%, respectively.Conclusion 3D-STI has a good application value in the diagnosis of coronary heart dis-ease, and its related parameters can reflect the severity of patients to a certain extent. |
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