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1. 南京中医药大学第三附属医院超声心动图室,江苏,南京,210001
2. 南京中医药大学第三附属医院风湿免疫科,江苏,南京,210001
Published Online:08 December 2017,
Published:08 December 2017
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庞家华,徐长松,万玮,等. 干燥综合征合并肺动脉高压的超声评价[J]. 肿瘤影像学, 2017, 26(5): 345-348
目的:
探讨超声心动图在干燥综合征(Sjogrens syndrome,SS)合并肺动脉高压(pulmonary hypertension,PH)患者右心功能评估中的应用价值。
方法:
选取SS患者88例,分为PH组(9例)和非PH组(79例)。常规超声心动图检查后,比较两组右心室舒张末期内径(right ventricular end diastolic diameter,RVDd)、左心室舒张末期内径(left ventricular end diastolic end diameter,LVDd)、右心房内径(right atrial diameter,RAD)、主肺动脉内径(main pulmonary artery diameter,MPAD)、右室射血分数(right ventricular ejection fraction,RVEF)、左室射血分数(left ventricular ejection fraction,LVEF)、肺动脉收缩压(pulmonary artery systolic pressure,PASP)、肺动脉血流加速时间(acceleration time,AT)、右心室射血前时间(right ventricular pre-ejection period,RPEP)、RPEP/AT、Tei指数等。
结果:
与非PH组相比,PH组RVDd、RAD扩大,MPAD增宽,RVEF明显降低,差异均有统计学意义(
P
<0.05),而LVDd、LVEF较差异无统计学意义。两组比较,PH组AT缩短,RPEP/AT增大,Tei指数降低,差异均有统计学意义(
P
<0.05)。
结论:
超声心动图可早期筛查SS合并PH,对右心功能进行评估可发现SS患者合并PH时右心功能发生一定变化,从而为临床早期诊治SS合并PH提供了指导。
Objective:
To study the application of ultrasonic cardiogram in evaluation of incidence rates and right cardiac function of Sjogrens syndrome (SS) patients combined with pulmonary hypertension (PH).
Methods:
A total of 88 SS patients (9 cases of PH and 79 cases of non-PH) were selected. The
values of right ventricular end diastolic diameter (RVDd)
left ventricular end diastolic diameter (LVDd)
right atrial diameter (RAD)
main pulmonary artery diameter (MPAD)
right ventricular ejection fraction (RVEF)
left ventricular ejection fraction (LVEF)
pulmonary artery systolic pressure (PASP)
acceleration time (AT)
right ventricular pre-ejection period (RPEP)
RPEP/AT and Tei index between the two groups were compared.
Results:
Compared with non-PH group
RVDd and RAD in PH group were enlarged
MPAD was widened
and RVEF was decreased significantly (
P
0.05). No significant differences were found in LVDd and LVEF between PH group and no-PH group. Moreover
AT was shortened
RPEP/AT was increased
and Tei index was decreased in PH group compared with non-PH group (
P
0.05).
Conclusion:
Ultrasonic cardiogram maybe helpful in diagnosis of SS patients combined with PH at an early stage.
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