阜外医院研究称:心脏超声三维成像评估心功能,效果堪比核磁共振

2019-06-11 xujing 中国循环杂志

阜外医院吴伟春等研究提示,3D 心脏解剖模型成像法能够准确测量左室舒张末容量(LVEDV)及左心室射血分数(LVEF),并且重复性好,客观性强,是一种值得推荐的测量心功能的新方法。 3D 心脏解剖模型成像应用程序是一个三维超声测量心脏功能的新方法,这种方法采用先验的知识(正常和异常心脏模型),使三维的方法能够迅速地分析出不同疾病的心脏形态和容量,得到更加准确的心脏容积和收缩功能。


阜外医院吴伟春等研究提示,3D 心脏解剖模型成像法能够准确测量左室舒张末容量(LVEDV)及左心室射血分数(LVEF),并且重复性好,客观性强,是一种值得推荐的测量心功能的新方法。

3D 心脏解剖模型成像应用程序是一个三维超声测量心脏功能的新方法,这种方法采用先验的知识(正常和异常心脏模型),使三维的方法能够迅速地分析出不同疾病的心脏形态和容量,得到更加准确的心脏容积和收缩功能。

本研究中,18 例患者中,心肌病患者7 例,冠心病患者8 例,其他疾病3 例。

与核磁共振(MRI)金标准相比,四种超声测量左心室心功能指标均有较好的相关性,其中3D 心脏解剖模型成像法相关性最好。

此外,3D 心脏解剖模型成像法在不同疾病中的LVEF 的测量差异和准确性比较中,它的差异也是最小(P 均>0.05),准确性最高。

研究者指出,较之前的三维超声技术,3D心脏解剖模型成像法的主要优点是更为方便和准确,从而使我们将三维测量心功能技术能够真正的应用于临床,而不是仅仅作为科研的工具,这也是我们这项研究的根本目的所在。

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    2019-06-12 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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阜外医院吴永健等报告,冠脉“一站式”杂交治疗患者,术前贫血增3.3倍急性肾损伤风险

阜外医院吴永健教授团队发表的一项单中心研究显示,在“一站式”杂交冠脉血运重建术后患者中,14.6%出现急性肾损伤,其中86.1%发生在术后72小时内,大部分可完全恢复。 多因素回归分析显示,术前贫血是“一站式”杂交冠脉血运重建术后出现急性肾损伤的危险因素(OR=4.303,95%CI:1.859~9.963,P=0.001)