组织多普勒联和解剖M型超声心动图对冠心病室壁运动异常的研究.docVIP

组织多普勒联和解剖M型超声心动图对冠心病室壁运动异常的研究 【摘要】 　　目的：探讨组织多普勒联和解剖M型超声心动图对冠心病室壁运动异常的研究。方法：用组织多普勒联和解剖M型超声心动图检测29例冠心病患者的室壁运动，并与冠状动脉造影相比较。结果：29例冠心病患者，组织多普勒对室壁运动异常诊断符合率83.33%；解剖M型超声心动图对室壁运动异常诊断符合率76.96%；组织多普勒联合解剖M型超声心动图对室壁运动异常诊断符合率91.67%。结论：组织多普勒联合解剖M型超声心动图能够提高对冠心病室壁运动异常的诊断符合率，可应用于冠心病的诊断筛选。 【关键词】 组织多普勒 解剖M型 冠心病 　　A Study of Doppler Tissue Imaging and Anatom M Mode Echocardiography in Detecting Ventricular Wall Motion in Patients with Coronary Artery Disease 　　WANG Gang,YE Yong,YANG Chao 　　(The Third Peoples Hospital of Xuzhou,Xuzhou,Jiangsu 221005,China) 　　Abstract:Objective The aim of this study is to detecting ventricular wall motion in patients with coronary artery disease(CAD) by doppler tissue imaging(DTI) and anatom M mode echocardiography(AMM).Methods The ventricular wall motion in 29 patients with CADwas detected by DTI and AMM. The results were compared with coronary arteriongraph. Results The coincidence rate of diagnosing ventricular wall motion abnormalities in 29 patients with CAD was 83.33% by DTI. The coincidence rate of diagnosing ventricular wall motion abnormalities in 29 patients with CAD was 76.96% by AMM. The coincidence rate of diagnosing ventricular wall motion abnormalities in 29 patients with CAD was 91.67% by DTI and AMM. Conclusion The coincidence rate of diagnosing ventricular wall motion abnormalities is higher by DTI and AMM than that by DTI or AMM,which is feasible for diagnosing ventricular wall motion abnormalities in patients with CAD. 　　Key words:Doppler tissue imaging;Anatom M-mode echocardiography;Coronary artery disease 　　组织多普勒（Doppler Tissue Imaging,DTI）是近年来应用于临床的一项新的探测心肌运动的技术，能更精确、更直观地分析室壁运动速度。解剖M型超声（Anatom M Mode Echocardiography,AMM）可在360°放置取样线，能对左室短轴所有节段的室壁运动进行分析[1]。本文联合使用上述两种方法探讨对冠心病室壁运动异常诊断的价值。 　　1 材料与方法 　　1.1 研究对象 　　2008年1月至6月行CAD造影证实的冠心病患者29例，男20例，女9例。年龄50岁～78岁，平均年龄(65.17±8.42)岁。入选标准：慢性心肌缺血患者，经CAD证实至少一支血管病变50%。无严重的心律失常。排除标准：急性心肌梗死、心肌病、严重的心力衰竭。 　　1.2 仪器 　　意大利百胜公司生产的魅丽70彩色多普勒超声诊断仪。探头频率1.0 MHz～4.0 MHz。具有DTI和AMM诊断功能。 　　1.3 方