多普勒超声心动图对经胸放疗期间左室舒张功能的评价.pdfVIP

垦l堕 医学影像杂志2008年笫l9卷第1期J Chin Clin Med Imaging，2008，Vo1．19，No．1 · 43· 多普勒超声心动图对经胸放疗期间左室舒张功能的评价 李东风，刘建民，李云阁，宁 虹，张双铭，王利民 (洛阳市第三人民医院超声科，河南 洛阳 471002) 【摘要1 目的：应用多普勒超声心动图监测经胸放疗期间左室舒张功能的变化。方法：36例经胸放射治疗的患者。进行两次 多普勒超声心动图检查，首诊检查：放射治疗前l～3天；复诊检查：放射治疗结束当天。测量舒张期二尖瓣口血流频谱及二尖瓣 环运动频谱的两峰比值(E／A，e／a)。结果：舒张期二尖瓣口血流频谱及二尖瓣环运动频谱的两峰值比率均显示．两次测量结果间 存在显著性差异(E／A：0．77±0．19 VS 0．69±0．13，e／a：0．82~0．31 VS 0．75~0．19，均P0．05)。结论：经胸放疗期间左室舒张功能受 损，多普勒超声心动图可及时作出诊断。 【关键词】 心室功能，左；放射疗法；超声心动描记术，多普勒，彩色 【中图分类号】 R734．2；R735．1；R540．45 【文献标识码】 A 【文章编号】 1008～1062(2008)01-0043—02 Evaluation of left ventricular diastolic function during thoracic radiation treatment by Voppler echocardiography LI Dong-feng,LIU —min，LI Yun-ge．NING Hong,ZHANG Shuang-ming,WANG Li-min (Department of Ultrasound,Third People’s Hospitd of Luoyang,Luoyang Henan 471002，China) Abstract：Objective：To investigate the variation of left ventricular diastolic function during thoracic radiation treatment using Doppler echocardiography．Methods：The study group consisted of 36 patients with thoracic radiotherapy．The patients were examined twice，the first examination：1-3 days before the radiation treatment；the second examination：the day of radia— tion treatment was finished．Doppler echocardiographic examinations were performed by measuring the ratio of two peaks of mitral inflow Doppler velocity and mitral annular diastolic velocity profile(E／A，e／a)．Results：E／A and e／a between two exami— nations were significantly different(E／A：0．77~0．19 VS 0．69±0．13，e／a：0．82~0．31 VS 0．75：t-0．19，both P0．05)．Conclusion-Left ventricular diastolic function was damaged during thoracic radiation treatment，which can be diagnosed by Doppler ecbocardiog- raphy in time． Key words：Ventricular function，left；Radiotherapy；Echocardiography，Doppler，color 随着放射治疗在胸部肿瘤治疗中的广泛应用． 前1～3天进行首次心脏超声检查。放射治疗结束当 心脏受射线影响的报告日渐增多，但应用多普勒超