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ID:32198164
大小:7.55 MB
页数:47页
时间:2019-02-01
《实时三维超声与二维斑点追踪成像评价拟诊冠心病患者室壁运动的初步探讨》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、天津医科大学硕士学位论文7.TheSLinthebasal,mid,apicalsegmentofanterior,anteroseptal;mid,apicalsegmentofanterolateralweresignificantlyreducedinthegroupA(p<0.05).8.ThesEF’werepositivelycorrelatedwith16segmentalaverageSL;assEF,SLofthesegmentdominatedbynarroedcoronaryastestvariable,asthemyocardialis
2、chemiaasstatevariablestomakeROCcurveanalysisindicatedthattheunder-curveareasofeverysegmentalsEFwerehigherthanSL.9.ComparedwiththegroupB,somesystolicdyssynchronyindices(Tmsv一16-SD,Tmsv-16-Dif,Tmsv-16-SD%,Tmsv一16-DiPA,ETmsv—SD,ETmsv-SD%,MT-msv-SD,MTmsv—Dif,MTmsv-SD%,ATmsv-SD,ATmsv-SD%
3、)weresignificantlyhigherinthegroupAp4、creasedascorrespondingREFdecreasedinthegroupA;thecorrelationsbetweenSDI,ATmsv—SDIandsEF’,REFweremodest(1-=.0.327,r一0.518).Conclusion1.Intheischemicgroup,theirregular17segmentaVTCsillustratedandthecolournonuniformbull’S-eyemapsillustratedsuggestedthatthewallmovemenabnormalitiesCanbee5、arlytestedusingofRT-3DEimages.Themethodissimplyanddirectly.2.Comparedwiththenormalgroup,sEFandSLofsomesegmentsdominatedbynarroedcoronaryweredecreased,theregularityofsegmentalventricularwallmovementdisappearinischemicgroup,whichsuggestedregionalwallmotioninstenosisofcoronaryartery(≥76、5%)withoutwallmotionabnormalityCanbeassessedrapidly,objectivelyandquantitativelybyuseofRT-3DEand2D-STI,whichprovidemoreclinicalinformationforearlydiagnosisofmyocardialischemia.3.ThesEFofRT-3DEandtheSLof2D—STlweremodestpositivelycorrelation,butforthediagnosisofmyocardialischemiainthe7、stenosisofcoronaryarteryf≥75%),comparedwithSL,sEF,especiallythesEFofanteroseptalapexregionhashigherunder-curveareas,SOtheclinicalapplicationvalueofRT-3DEismorehingerthan2D—STIforsuchpatients.4.Globalandregionalsystolicdyssynchronyindiceswereincreaseandwere天津医科大学硕士学位论文inverselycorrel8、atedwithsEFandREFin
4、creasedascorrespondingREFdecreasedinthegroupA;thecorrelationsbetweenSDI,ATmsv—SDIandsEF’,REFweremodest(1-=.0.327,r一0.518).Conclusion1.Intheischemicgroup,theirregular17segmentaVTCsillustratedandthecolournonuniformbull’S-eyemapsillustratedsuggestedthatthewallmovemenabnormalitiesCanbee
5、arlytestedusingofRT-3DEimages.Themethodissimplyanddirectly.2.Comparedwiththenormalgroup,sEFandSLofsomesegmentsdominatedbynarroedcoronaryweredecreased,theregularityofsegmentalventricularwallmovementdisappearinischemicgroup,whichsuggestedregionalwallmotioninstenosisofcoronaryartery(≥7
6、5%)withoutwallmotionabnormalityCanbeassessedrapidly,objectivelyandquantitativelybyuseofRT-3DEand2D-STI,whichprovidemoreclinicalinformationforearlydiagnosisofmyocardialischemia.3.ThesEFofRT-3DEandtheSLof2D—STlweremodestpositivelycorrelation,butforthediagnosisofmyocardialischemiainthe
7、stenosisofcoronaryarteryf≥75%),comparedwithSL,sEF,especiallythesEFofanteroseptalapexregionhashigherunder-curveareas,SOtheclinicalapplicationvalueofRT-3DEismorehingerthan2D—STIforsuchpatients.4.Globalandregionalsystolicdyssynchronyindiceswereincreaseandwere天津医科大学硕士学位论文inverselycorrel
8、atedwithsEFandREFin
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