[最新]经食道心肌背向散射强度及黑色壁运动记分检测存活心肌的临床研究.docVIP

[最新]经食道心肌背向散射强度及黑色壁运动记分检测存活心肌的临床研究 经食道心肌背向散射强度及彩色壁运动记分检测存活心肌的临床研 究 经食道心肌背向散射强度及彩色壁运动记分检测存活心肌的临床研 究 2009-12-14 徐政新 赵晓月 王 燕 【摘要】 目的 探索超声检测心肌存活的有效定量和半定量指 标。方法 对24例临床确诊的亚急性及陈旧性心肌梗死病人，经食 道超声进行小剂量多巴酚丁胺负荷，用IBS、CK及AQ等指标检测存 活心肌。结果 ?负荷后2D运动记分减少与CK记分增加的变化，相 关系数r=0.98。?负荷后AQ值变化无统计意义。?IBS曲线形态、 PPI值、SD值在梗死区、正常区及梗死周围区间差别明显。负荷后梗 死周围区上述值差异显著。A?值在三个区域间及负荷后均无明显差 异。结论 负荷后室壁节段CK记分增加?1;该区PPI=5,10,负荷 后增加12,16以上;IBS曲线由平直变成周期性峰—谷幅度明显的 曲线，即应考虑此段心肌存活。 【关键词】 经食道超声心动图 心肌组织背向散射强度记分 彩色壁运动记分 心肌存活性 Clinical study on viable myocardium by integrated backscatter intensity of myocardium and color kinesis scores using transesophageal echocardiography Xu Zhengxin, Zhao Xiaoyue, Wang yan. The 458th Hospital of PLA, Guangzhou 510602 【Abstract】 Objective To study quantitative and half quantitative indications for the assessment of myocardial viability with echocardiography. Methods Integrated backscatter intensity of myocardium (IBS), color kinesis (CK) scores and acoustic quantification (AQ) on transesophageal echocardiography were used for the examination of viable myocardium in 24 cases of subacute and old myocardial infarction during low dose dobutamine stress. Results ?The changes between 2D wall motion scores decrease and CK scores increase are correlated, r=0.98. ? The changes of the AQ values after stress are not significant. ?The shapes of IBS curve, PPI value and SD value among regions of infarction, normal area and perioral infarction are of significant differences, but AII is an differentiated. Conclusions After stress, wall CK scores increased by one and more; and when PPI=5,10, after stress it increased by more than 12,16, changes of the IBS curve from staight to significant peak-trough suggest viable myocardium. 【Key words】 Transesophageal echocardiography(TEE) Integrated backscatter intensity of myocardium (IBS) Color kinesis scores (CK) Viable myocardium 使用小剂量多巴酚丁胺负荷超声心动图检测顿抑心肌和冬眠心 肌，其准确性与放射性核素,1,、磁共振,2,相等。但是所有这些 影像方法目前仍停留在定性阶段，其成功率和准确性受到多种因素制 约。我们使用心肌超声背向散射位移彩色(CK)记分、强度积分记分 (