發(fā)布時(shí)間：2018-06-13 19:57

  本文選題：超聲心動(dòng)圖 + Tei指數(shù)　； 參考：《福建醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的：運(yùn)用二維超聲心動(dòng)圖(two-dimensional echocardiography,2DE)、組織多普勒成像技術(shù)(tissue Doppler imaging, TDI),實(shí)時(shí)三維超聲心動(dòng)圖(real-time threedimensional echocardiography, RT-3DE)評(píng)估肺栓塞患者右心室功能,探討不同方法在臨床評(píng)價(jià)肺栓塞患者治療前后右心形態(tài)及功能、肺動(dòng)脈壓力變化。 方法：入選2012年-2013年福建醫(yī)科大學(xué)附屬協(xié)和醫(yī)院確診為肺栓塞的患者30例，均按照肺栓塞治療指南規(guī)范治療，前后互為對(duì)照。所有研究對(duì)像行2DE、TDI, RT-3DE檢g饉閆溆倚某９娉副輳河倚姆砍ぞ�、横径]倚氖儀昂缶丁⒊ぞ�、横径－h(huán)味鲅沽Γ揮倚氖襎ei指數(shù)；三尖瓣環(huán)收縮期位移(tricuspidannular plane systolic excursion, TAPSE)；右心室舒張期末容積（right ventricularend-diastole volume，RVEDV）；右心室收縮期末容積(right ventricular end-systolicvolume, RVESV)及右心室射血分?jǐn)?shù)(right ventricular ejection fraction, RVEF)。對(duì)所得數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)比較分析。 結(jié)果:肺栓塞溶栓或取栓術(shù)治療后2周的隨訪中。右心房長(zhǎng)徑、橫徑未見(jiàn)明顯縮小，右心室前后徑、長(zhǎng)徑、橫徑較治療前均有明顯縮小；肺動(dòng)脈壓力明顯降低；降低；右室射血分?jǐn)?shù)較治療前增大。（P0.05-0.01） 結(jié)論:二維超聲心動(dòng)圖常規(guī)指標(biāo)、Tei指數(shù)、三尖瓣環(huán)收縮期位移及實(shí)時(shí)三維超聲心動(dòng)圖能有效評(píng)價(jià)肺栓塞患者治療后右心系統(tǒng)形態(tài)和功能變化。
[Abstract]:Objective: to evaluate the right ventricular function in patients with pulmonary embolism by two-dimensional echocardiography, tissue Doppler imaging (TDI) and real-time threedimensional echocardiography (RT-3DEE). To investigate the changes of right heart function and pulmonary artery pressure in patients with pulmonary embolism before and after treatment with different methods. Methods: thirty patients diagnosed as pulmonary embolism in Union Hospital of Fujian Medical University from 2012 to 2013 were treated according to the guidelines of pulmonary embolism treatment. All the subjects studied were 2DETDI.RT-3DE was used to detect? Do you have a certain number of birds? Zonghe Yime Kawamudin 10 Chiu Ding Yi Yi Ne Fou Din 3 Dine 10 Ne Ding ring? The right ventricularend-diastole volume is right ventricularend-diastole volume RVEDVV, right ventricular end-systolic volume (RVESVM) and right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-diastolic volume (RVESVI) and the right ventricular ejection fraction, RVEF.The right ventricular end-diastolic volume (RVESVV) and the right ventricular ejection fraction, RVEF.The right ventricular end-systolic volume (RVESVV) and the right ventricular ejection fraction, RVEF. The data were compared and analyzed statistically. Results: two weeks after thrombolysis or thrombolysis in pulmonary embolism. The right atrial diameter and transverse diameter were not significantly reduced, the right ventricular anterior and posterior diameter, long diameter and transverse diameter were significantly reduced compared with those before treatment, pulmonary artery pressure was significantly reduced. Right ventricular ejection fraction (RVEF) was higher than that before treatment (P 0.05-0.01) conclusion: the normal index of two-dimensional echocardiography is Tei index. Tricuspid annular systolic displacement and real-time three-dimensional echocardiography can effectively evaluate the changes of right ventricular system morphology and function in patients with pulmonary embolism after treatment.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R445.1;R563.5

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本文編號(hào)：2015227