运用经胸实时三维超声心动图定量评价OPCAB术后左室重构和缺血性二尖瓣反流的改变.pdfVIP

38．94-15．1％Vs46．1士11．8％Vs wasnodifferencebetweenthese2 66．74-7．3％，Po．05)，there EFofIMR Was decreased groups．However,thepost-inferiorregional group significantly withCAD VS 62．14-14．5％ andControl CADVSControl：：58．40／社7．1％Vs compared group(IMR Vs67．44-1 between 0．5％．p0．05 groups)． Conclusion：Inwith LV and dilationWasmoreseverethanin patientsIMR，theglobalregional forthebasic the without and the LV patients MR，especially post-inferiorsegments，withspherical the Wascommonin with dysfunction geometricshape．Despiteglobal patientscoronaryartery with wouldbemore than IMR，the disease，however,inpatients regionaldysfunction significant thosewithoutIMR．Thesecouldbe to the IMR furtherunderstandmechanismof findings helpful and its treatment． guidesurgical words：myocardial ventricular Key infarction，Echocardiography,mitralregurgitation，left remodeling 运用经胸实时三维超声心动图定量评价OPCAB术后 左室重构及缺血性二尖瓣反流的改变 孙笑天蒋宇雯颜萍黄杰春王宜青黄国倩+ 复旦大学附属华山医院超声心动图室心胸外科 上海200040 摘 要 mitral 背景和目的：缺血性二尖瓣反流(Ischemic regurgitation，IMR)是冠心病广泛存 在的并发症，严重影响冠心病患者的预后。研究表明，IMR和左室(Leitventricle，LV)重 构关系密切。传统的二维超声心动图评价LV重构局限性较大。本研究采用实时三维成像技 术定量分析LV容积及功能，研究OPCAB术后LV重构的逆转和反流改善的关系，更好地 了解IMR发生机制，以指导治疗。 方法：收集2008年1月至12月间行微创冠状动脉旁路移植术(OPCAB)且