| 超声心动图四维自动左心室容积测定技术在左心室室壁瘤成形术中的应用价值 |
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| 引用本文： | 冯杰莉,张喆,郑青,王新宇.超声心动图四维自动左心室容积测定技术在左心室室壁瘤成形术中的应用价值[J].中国医学影像技术,2017,33(S1):12-15. |
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| 作者姓名： | 冯杰莉 张喆 郑青 王新宇 |
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| 作者单位： | 北京大学第三医院心内科, 北京 100191;血管医学研究所 卫生部心血管分子生物学与调节肽重点实验室 分子心血管学教育部重点实验室 心血管受体研究北京市重点实验室, 北京 100191,北京大学第三医院心外科, 北京 100191,北京大学第三医院麻醉科, 北京 100191,北京大学第三医院心内科, 北京 100191;血管医学研究所 卫生部心血管分子生物学与调节肽重点实验室 分子心血管学教育部重点实验室 心血管受体研究北京市重点实验室, 北京 100191 |
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| 基金项目： | 北京大学第三医院院临床重点项目青年项目（Y75463-02）。 |
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| 摘 要： | 目的 探讨四维自动左心室容积测定（4D auto LVQ）在室壁瘤左心室成形术中的应用价值。方法 采用4D auto LVQ技术评价7例广泛前壁心肌梗死合并心尖部室壁瘤患者左心室容积和功能，并与心脏MR测量心室容积及室壁瘤成形术后左心室收缩功能比较。结果 5例术前行心脏MR检查，5例行室壁瘤成形术。与二维超声心动图相比，4D auto LVQ测量室壁瘤患者左心室容积与心脏MR检查结果更接近。采用4D auto LVQ技术术前预测左心室收缩功能与术后实际左心室收缩功能接近。结论 4D auto LVQ技术可更精准、快捷地评价左心室容积和收缩功能，为制定室壁瘤成形手术方案提供客观资料。
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| 关 键 词： | 超声心动描记术 心室壁瘤 心室 左 心脏容积 射血分数 |
| 收稿时间： | 2017/9/6 0:00:00 |
| 修稿时间： | 2017/11/19 0:00:00 |
Application value of four-dimensional left ventricular automatedqualification for left ventricular aneurysm in surgical ventricular reconstruction |
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| FENG Jieli,ZHANG Zhe,ZHENG Qing and WANG Xinyu.Application value of four-dimensional left ventricular automatedqualification for left ventricular aneurysm in surgical ventricular reconstruction[J].Chinese Journal of Medical Imaging Technology,2017,33(S1):12-15. |
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| Authors: | FENG Jieli ZHANG Zhe ZHENG Qing and WANG Xinyu |
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| Affiliation: | Department of Cardiology, Peking University Third Hospital, Beijing 100191, China;Institute of Vascular Medicine, Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides Ministry of Health, Key Laboratory of Molecular Cardiovascular Sciences Ministry of Education, Beijing Key Laboratory of Cardiovascular Receptors Research, Beijing 100191, China,Department of Cardiologic Surgery, Peking University Third Hospital, Beijing 100191, China,Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China and Department of Cardiology, Peking University Third Hospital, Beijing 100191, China;Institute of Vascular Medicine, Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides Ministry of Health, Key Laboratory of Molecular Cardiovascular Sciences Ministry of Education, Beijing Key Laboratory of Cardiovascular Receptors Research, Beijing 100191, China |
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| Abstract: | Objective To investigate the value of four-dimensional left ventricular automated qualification (4D auto LVQ) for left ventricular aneurysm in surgical ventricular reconstruction. Methods Using 4D auto LVQ technique, the left ventricle volume and function were measured in 7 patients with anterior wall myocardial infarction and left ventricular apex aneurysm before and post operation. The results of 4D auto LVQ were compared with those of cardiac MRI and post operation. Results Five patients were performed cardiac MRI before operation and 5 patients were performed ventricular reconstruction. Compared with 2D echocardiography, left ventricular volume and function measured by 4D auto LVQ were closer with results of cardiac MRI. Predicted left ventricular function using 4D auto LVQ before operation was close with that measured after operation. Conclusion The 4D auto LVQ provides a newly accurate and fast measurement of left ventricular volume and function, which can provide objective data for surgical ventricular reconstruction planning. |
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| Keywords: | Echocardiography Ventricular aneurysm Ventriular left Cardiac volume Ejection fraction |
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