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全心尖切面心肌背向散射积分参数评价心肌缺血
引用本文:李东野,常超,高铭枢,夏勇,陈清枝,陈静,王晓萍,吴兰芬. 全心尖切面心肌背向散射积分参数评价心肌缺血[J]. 中国医学影像技术, 2005, 21(2): 199-201
作者姓名:李东野  常超  高铭枢  夏勇  陈清枝  陈静  王晓萍  吴兰芬
作者单位:徐州医学院心血管病研究所、附属医院心内科 江苏徐州221002(李东野,常超,高铭枢,夏勇,陈清枝,陈静,王晓萍),徐州医学院心血管病研究所、附属医院心内科 江苏徐州221002(吴兰芬)
摘    要:目的探讨全心尖切面心肌背向散射积分参数评价心肌缺血的可靠性。方法分析22例冠心病(CAD)患者和18例冠状动脉定量造影(QCA)正常患者的全心尖切面心肌所测左室16个节段背向散射积分参数,分别比较cAD组中室壁运动异常节段心肌、室壁运动正常节段心肌及对照组心肌的CVIB、CVIB%及AII%值。结果CAD组中室壁运动异常节段心肌CVIB、CVIB%值均显著低于后二者,而AII%值则显著高于后二者。结论全心尖切面所测左室16个节段背向散射积分参数能够敏感、客观并比较全面地反映心肌缺血情况。

关 键 词:背向散射积分 冠状动脉疾病 冠状血管造影术 心肌缺血
文章编号:1003-3289(2005)02-0199-03
修稿时间:2004-07-20

Assessment of myocardial ischemia by integrated backscatter in total apical views
LI Dong-ye,CHANG Chao,GAO Ming-shu,XIA Yong,CHEN Qing-zhi,CHEN Jing,WANG Xiao-ping and WU Lan-fen. Assessment of myocardial ischemia by integrated backscatter in total apical views[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(2): 199-201
Authors:LI Dong-ye  CHANG Chao  GAO Ming-shu  XIA Yong  CHEN Qing-zhi  CHEN Jing  WANG Xiao-ping  WU Lan-fen
Affiliation:Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China;Department of Cardiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002, China
Abstract:Objective To investigate the reliability of integrated backscatter in assessment of myocardial ischemia with total apical views. Methods Twenty two patients with coronary artery disease (group CAD) and 18 patients whose quantitative coronary angiography (group CON) were normal received integrated backscatter analyzing. CVIB, CVIB% and AII% of the segments of abnormal wall motion in group CAD were compared with those of the segments of normal wall motion in group CAD and group CON. Results CVIB, CVIB% in the segments of abnormal wall motion were significantly lower than those in the segments of normal wall motion in group CAD and the segments of group CON, but the value of AII% were significantly higher in the segments of abnormal wall motion in group CAD. Conclusion IBS analysis of myocardium in total apical views can give a sensitive, objective and overall detection of myocardial ischemia.
Keywords:Integrated backscatter  Coronary artery disease  Coronary angiography  Myocardial ischemia
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