RT3DE评价高血压病患者左心室重构.pdf

·16· RT一3DE评价高血压病患者左心室重构 何秀丽。李玉宏 (辽宁医学院附属第一医院超声科，辽宁锦州 121001) 【摘要】 目的：探讨应用实时三维超声心动图(Rrr_3DE)评价高血压病患者左心室重构的价值。方法：采集96例高血压病 患者(32例正常构型组，28例向心性肥厚组，36例离心性肥厚组)与36例正常人的左心室三维图像。测量左室舒张末期容积 构和左室壁运动同步性具有形态和功能相结合的优点。是有效、准确的无创性检查方法，对高血压病患者病情的发展和预后判 断具有重要的临床意义。 【关键词】高血压；心室重构；超声心动描记术，三维 【中图分类号】R544．1；R540．45【文献标识码】A 【文章编号】1008一1062(2011)01—0016—04 Assessmentofleftventricular and in remodelingsystolicsynchronicity with heartdiseaseRT-3DE patientshypertensive by HEXiu-li,LI Yu-hong Medical 121001，傩酬 (DepartmentofUltrasonography,AffiliatedHospitalofL洳ning College，JinzhouLiaoning three--dimensional toassessleftventricular in real-time Abstract：Objective：Using echocardiography(RT-3DEl remodeling with heart dataof96 normal concentric patientshypertensivedisease(HHD)．Methods：RT一3DEHHD(32 configuration．28hy— eccentric normalcontrolswere ventrieularend-diastolic pertrophy，36hypertrophy)，36 acquired．Left ventricularend—diastolic RT-3DEandtwo-dimensional biplane epicardialvolume(EDVepi)by yentricular mass ventricularenddiastolic volumeindex method；left m舯s(LVM)，l曲ventricularindex(LVMI)，left epicardial ventricular calculatedand measured CEDVI)．1eft remodelingindex(LVRI)were by R7I_3DEand2DEwere differentinter eccentric no differ- significantly group，in hypertrophygroups(砌．05)，butsignificandy entinnormalcontrol andc