应用血流向量成像观察扩张型心肌病左心室内涡流特征.PDFVIP

See discussions, stats, and author profiles for this publication at: /publication Evaluation of Vortex within Left Ventricle in Patients with Dilated Cardiomyopathy by Vector Flow Mapping Article · January 2010 CITATIONS READS 0 23 8 authors, including: Mei-Hua Zhu Yani Liu Oregon Health and Science Unive… The University of Manchester 115 PUBLICATIONS 81 CITATIONS 28 PUBLICATIONS 161 CITATIONS SEE PROFILE SEE PROFILE Some of the authors of this publication are also working on these related projects: Retinal diseases View project All content following this page was uploaded by Mei-Hua Zhu on 12 February 2014. The user has requested enhancement of the downloaded file. 生堡签直丝垡堂盘查垫!!堡!!旦筮!!鲞箜!!塑￡婪望』型!!垡!!!堕!：Q!!!!!!!!!!：∑!!!!：塑!：!!·829· ．临床研究． 应用血流向量成像观察扩张型心肌病 左心室内涡流特征 朱美华 邓又斌 刘红云 杨好意 毕小军 刘娅妮 王玉波 王文璇 【摘要】目的 应用血流向量成像技术观察左室内涡流的形成及演变情况，评价扩张型心肌病 (DCM)的左心室功能。方法选取DCM患者26例、正常对照44例为观察对象，采集左室内血流向量图 像，观察心动周期中不同时相涡流的位置、大小、圈数分布及其演变规律。结果 ①正常对照组缓慢射血 期和等容舒张期左室内未见涡流形成，舒张期涡流多位于二尖瓣前叶附近，左室中上都1／3，形态多变(变 化2～3次)；涡流横径、纵径和圈数在心动周期的7个时相之间有差异。②DCM组心动周期7个时相均有 涡流出现，舒张期出现涡流更靠近左室中下2／3，向心尖部靠近，相对正常人而言。DCM组在同一时相出现 的涡流形态、部位变化更多(4～5次)；心动周期的各个时相中DCM组左室内涡流的横径、纵径和圈数均 大于正常对照组。DCM组涡流大小和圈数在心动周期的7个时相之间也有差异。结论血流向量成像 技术可以显示在体的左室内涡流变化情况，DCM患者左室内涡流大小及圈数均大于正常人。 【关键词】超声心动描记术；心肌病，扩张型；涡流；血流向量成像 left vector Evaluationofvortexwithinventriclein withdilated flow patients cardlomyopathyby mapping ZHUMei—hua，DENGYou—bin，LIU Ya—ni，WANGYu—bo， Hong—yun，yANGHa矿yi，BIXiao-jun，LIU Medical