1. 中山大学孙逸仙纪念医院心内科,广东,广州,510120
2. 佛山市第一人民医院超声诊疗中心,广东,佛山,528000
网络首发:2020-09-11,
纸质出版:2020
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王培伟, 吕函璐, 何艳萍, 等. 三维全自动左心定量技术评价心脏起搏器植入患者的左心功能[J]. 中山大学学报(医学科学版), 2020,41(5).
WANG Pei-wei, LV Han-lu, HE Yan-ping, et al. Quantitative Evaluation of Left Ventricular Volume and Ejection Fraction in Patients with Pacemakers by 3D Echocardiographic Automated Quantification Technique[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5).
王培伟, 吕函璐, 何艳萍, 等. 三维全自动左心定量技术评价心脏起搏器植入患者的左心功能[J]. 中山大学学报(医学科学版), 2020,41(5). DOI:
WANG Pei-wei, LV Han-lu, HE Yan-ping, et al. Quantitative Evaluation of Left Ventricular Volume and Ejection Fraction in Patients with Pacemakers by 3D Echocardiographic Automated Quantification Technique[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5). DOI:
【目的】运用心脏三维全自动左心定量技术(HM)评价心脏起搏器植入患者的左心室容积及射血分数。【方法】对 50 例心脏起搏器植入患者行超声心动图检查,采集其二维及三维图像,采用双平面Simpson 法、HM 法及传统三维手动测量(3D-manual)法分别测出左心室舒张末容积(LVEDV)、左心室收缩末容积(LVESV)、左室射血分数(LVEF)。对三种方法的测量结果及后处理时间进行比较。同时评价 HM 方法组内及组间的重复性。【结果】Simpson、HM、3D-manual 法测量 LVEDV 和 LVEF 值总体差异均有统计学意义(均 P<0.05)。HM 测量 LVEDV、LVESV 均大于 3D-manual(均 P<0.05),而 LVEF 差异无统计学意义(P>0.05)。HM 与 3D-manual 的测值有极高的相关性和更好的一致性。HM 法的后处理时间最少,且观察者内和观察者间的重复性高。【结论】HM 法自动评价心脏起搏器植入患者左心室容积及射血分数快速、可行,且具有高度重复性。
【Objective】Heart Model(HM)is a new method of 3D automatic left ventricular quantitative technique. This experiment is designed to test the feasibility and reproducibility of HM in evaluating left ventricular volume and ejection fraction of patients with pacemaker.【Methods】Echocardiography was performed in 50 patients with pacemaker. All of the two-dimensional and three-dimensional images were collected. Biplane Simpson method,HM method and traditional 3D-manual method were used to measure left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV)and left ventricular ejection fraction(LVEF),respectively. The measurement results and post-processing time of the three methods were compared. At the same time,the repeatability of HM method within and between groups was evaluated.【Results】The differences among Simpson,HM and 3D- manual in the measures of LVEDV and LVEF were statistically significant(P<0.05). LVEDV and LVESV measured by HM were larger than those measured by 3D-manual(P<0.05),while LVEF had no statistical significance(P>0.05). HM and 3D-manual measurements had a very high correlation and consistency. Compared with Simpson and 3D-manual,HM method had the least post-processing time,and the repeatability was good within and between groups.【Conclusion】HM method for automatic evaluation of left ventricular volume and ejection fraction is rapid,feasible and highly reproducible.
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