刘雨,姜克新,毕桐瑶,范一宁.三维斑点追踪成像评估2型糖尿病伴腹型肥胖患者左心室心肌收缩功能[J].中国介入影像与治疗学,2019,16(11):682-686
三维斑点追踪成像评估2型糖尿病伴腹型肥胖患者左心室心肌收缩功能
Evaluation on left ventricular myocardial systolic function in patients with type 2 diabetes mellitus combined with abdominal obesity with three-dimensional speckle tracking imaging
投稿时间:2019-04-02  修订日期:2019-10-14
DOI:10.13929/j.1672-8475.201904001
中文关键词:  糖尿病,2型  超声心动描记术,三维  心室功能,左  腹型肥胖
英文关键词:diabetes mellitus, type 2  echocardiography, three-dimensional  ventricular function, left  abdominal obesity
基金项目:
作者单位E-mail
刘雨 中国医科大学附属盛京医院超声科, 辽宁 沈阳 110004  
姜克新 中国医科大学附属盛京医院超声科, 辽宁 沈阳 110004 kxj189@163.com 
毕桐瑶 中国医科大学附属盛京医院超声科, 辽宁 沈阳 110004  
范一宁 中国医科大学附属盛京医院超声科, 辽宁 沈阳 110004  
摘要点击次数: 921
全文下载次数: 240
中文摘要:
      目的 探讨三维斑点追踪成像(3D-STI)评估2型糖尿病(T2DM)伴腹型肥胖患者左心室心肌收缩功能的价值。方法 收集56例T2DM患者,其中腹型肥胖组26例、无腹型肥胖组30例,以30名健康体检者为对照组。比较3组常规超声参数左心室舒张末期内径(LVDd)、二维射血分数(2D-EF)、相对室壁厚度(RWT)、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、三维射血分数(3D-EF)以及应变参数左心室整体纵向应变(LVGLS)、左心室整体圆周应变(LVGCS)、左心室整体面积应变(LVGAS)、左心室整体径向应变(LVGRS)。结果 常规超声参数及应变参数比较,腹型肥胖组LVDd、RWT、LVEDV、LVESV均较对照组、无腹型肥胖组升高(P均<0.05),2D-EF、3D-EF均低于对照组(P均<0.05)。腹型肥胖组、无腹型肥胖组LVGLS、LVGCS、LVGAS、LVGRS均较对照组减低(P均<0.05),且腹型肥胖组均低于无腹型肥胖组(P均<0.05)。结论 3D-STI可用于评估T2DM伴腹型肥胖患者左心室心肌收缩功能。
英文摘要:
      Objective To evaluate left ventricular myocardial systolic function in patients with type 2 diabetes mellitus (T2DM) combined with abdominal obesity with three-dimensional speckle tracking imaging (3D-STI). Methods A total of 56 T2DM patients were enrolled, including 26 patients with abdominal obesity (abdominal obesity group) and 30 without abdominal obesity (non-abdominal obesity group), while 30 healthy volunteers were selected as the control group. Conventional ultrasound parameters and strain parameters, including left ventricular end-diastolic diameter (LVDd), two-dimensional ejection fraction (2D-EF), relative wall thickness (RWT), left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV), three-dimensional ejection fraction (3D-EF), as well as left ventricular global longitudinal strain (LVGLS), left ventricular global circumferential strain (LVGCS), left ventricular global area strain (LVGAS) and left ventricular global radial strain (LVGRS) were compared among 3 groups. Results Among the three groups, LVDd, RWT, LVEDV and LVESV in abdominal obesity group were higher than those in control group and non-abdominal obesity group (all P<0.05), while 2D-EF and 3D-EF were lower than those in control group (both P<0.05). LVGLS, LVGCS, LVGAS and LVGRS in abdominal obesity group and non-abdominal obesity group were lower than those in control group (all P<0.05), while in abdominal obesity group were lower than in non-abdominal obesity group (all P<0.05). Conclusion 3D-STI can be used to evaluate left ventricular myocardial systolic function in patients with T2DM combined with abdominal obesity.
查看全文  查看/发表评论  下载PDF阅读器
关闭