定量多普勒组织速度成像及解剖m型超声对冠状动脉病变诊断价值的研究-影像医学与核医学(超声方向)专业论文.docxVIP

汕头大学医 汕头大学医学院硕士学位论文 汕头大学医 汕头大学医学院硕士学位论文 III III IV IV Abstract Objective: 1. In order to explore the probable significant clinical indicators of QTVI on CAD, we detected the left ventricular wall motion speed in patients suspected as coronary heart disease by QTVI. 2. In order to explore the significant clinical indicators of AMM on CAD, we detected the left ventricular segmental wall amplitude and thickening fractions in patients suspected as coronary heart disease by AMM. 3. This study is to define the diagnostic criteria of QTVI and AMM on CAD based on the experimental results. To investigate the applied value of QTVI 、 AMM and the combination of the two for pristine diagnosis of myocardial ischemia in patients with CAD. Method: Forty-four inner patients who were suspected as cornary heart diseases from September to December 2012 were included in this study. With the vivid 7 echocardiographic instrument by a 1.7-3.4MHz transducer.Ordinary ultrasound was performed first. The velocity（Vs ,Ve and Va）of the left ventricular wall were measured by QTVI in all subjects from the apical four-chamber view ,the apical two-chamber view and the apical long axis view of the left heart. Then the ventricular segmental wall thickness and amplitude were measured by Anatomic M-mode echocardiography in all subjects from the short axis view at the level of mitral annulus and papillary muscle of the left heart. Then we got the ventricular wall thickening fractions. Comparison of the parametric differences between the patients and the healthy subjects by measuring and recording parametric numerus were carried out secondly. All subjects should take the coronary angiography after the ultrasound examination in 1-3 days.Patients with the vascular stenosis rate≥ 50% were defined as the CAD group,patients with with the completely normal angiographic results were included in the normal control group according to the results of angiography. 34 patients were diagnosed as CAD, with single-vessel