三维超声心动图测定机械瓣瓣口面积初步经验.docVIP

???? 三维超声心动图测定机械瓣瓣口面积初步经验 ???? ???? 摘　要：目的　观察三维超声心动(3DE)测定机械瓣瓣口面积的可行性。方法　11例机械瓣置换病例,用任意切面(anyplane)3DE测定机械瓣瓣口有效面积,将测定值与多普勒超声心动(DE)测定的有效瓣口面积(包括实测值和文献报道测值)及生产厂商提供的离体瓣口面积比较。结果　3DE测定机械瓣有效瓣口面积为(2.73±0.88) cm2与DE实测值(2.45±0.77)cm2及文献报道DE测值(2.85±0.96) cm2比较无明显差异(P0.05)。3DE测值与DE实测值的相关性为r=0.755,与文献报道DE测值的相关性为r=0.919。生产厂商提供的离体瓣口面积为(4.06±1.09)cm2与3DE测值,DE实测值及文献报道DE测值比较均有明显差异(P0.01),在本研究中3DE测定在体机械瓣瓣口平均面积仅为生产厂商提供的离体瓣口平均面积的(66.8±9.7)%,但二者之间相关性为0.910。对同一观查者相隔半个月以上的两次3DE测值进行比较,未见明显差异(P0.001)。结论　据初步经验用3DE测定机械瓣瓣口面积在二尖瓣位是准确可行的,在主动脉瓣位由于例数太少尚需进一步研究。超声心动在体实测值与生产厂商提供的离体瓣口面积有明显差异可能与多种因素有关。关键词：超声心动描记术,三维;心脏瓣膜,人工 Primary experience on quantitative assessment of mechanical prosthetic valve area by three-dimensional echocardiography LI Yue(Ultrasound Department of General Hospital of PLA,Beijing 100853,China)Herman FJ Mannaerts,Otto Kamp,et al.(Cardiovascnlar institute of Free university teaching hospital,Amsterdam,Natherlands) Abstract：Objective　To determine the feasibility of three-dimensional echocardiography(3DE) in assessment of mechanical prosthetic valve areas.Methods　Eleven patients with mechanical prosthetic valve replacement were included into the study.The effective orifice areas(EOA) of mechanical prosthetic valve were assessed by anyplane mode of 3DE and compared with EOA deriverd by Doppler echocardiography(DE,which included real measurement and published literature) and provided by manufactures.Results　There were no significant difference between the EOA assessed by 3DE［(2.73±0.88) cm2］ and derived from DE ［real measurement=(2.45±0.77) cm2,published literature=(2.85±0.96) cm2］ (all P0.05).A good correlation was observed between the EOA assessed by 3DE and derived from DE (r=0.755 and 0.919,all P0.01).The EOA provided by manufacturers was (4.06±1.09) cm2,which differed significantly from the EOA assessed by 3DE and derived from DE.The percentage of the EOA assessed by 3DE to the manufacturers orifice areas was (66.8±9.7)%.However,a good correlation was observed between the