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[1]羅麗敏,趙維鵬,劉 強(qiáng),等.三維經(jīng)食管超聲評(píng)估二尖瓣成形環(huán)大小的可行性研究[J].福建醫(yī)藥雜志,2021,43(05):13-15.
　LUO Limin,ZHAO Weipeng,LIU Qiang,et al.Feasibility study of evaluating mitral valve annuloplasyt ring size by three-dimensional transesophageal[J].FUJIAN MEDICAL JOURNAL,2021,43(05):13-15.
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三維經(jīng)食管超聲評(píng)估二尖瓣成形環(huán)大小的可行性研究()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年05期
頁(yè)碼:
13-15
欄目:
臨床研究
出版日期:
2021-10-15

文章信息/Info

Title:
Feasibility study of evaluating mitral valve annuloplasyt ring size by three-dimensional transesophageal
文章編號(hào):
1002-2600(2021)05-0013-03
作者:
羅麗敏; 趙維鵬; 劉 強(qiáng); 舒先紅1
復(fù)旦大學(xué)附屬中山醫(yī)院廈門醫(yī)院心超室(廈門 361015)
Author(s):
LUO Limin;  ZHAO Weipeng;  LIU Qiang;  SHU Xianhong
Department of Echocardiography,Zhongshan Hospital Fudan University Xiamen Branch,Xiamen,Fujian 361015,China.
關(guān)鍵詞:
經(jīng)食道超聲心動(dòng)圖;  二尖瓣成形術(shù);  二尖瓣成形環(huán)
Keywords:
transesophageal echocardiography;  mitral valvuloplasty;  mitral valve annuloplasyt ring
分類號(hào):
R445.1
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 通過(guò)三維經(jīng)食管超聲(3D-TEE)測(cè)量二尖瓣前葉瓣環(huán)三角區(qū)距離預(yù)估二尖瓣成形術(shù)中成形環(huán)大小的可行性。方法 選擇2018年10月至2021年1月于我院接受二尖瓣成形術(shù)治療二尖瓣關(guān)閉不全的60例患者。所有患者均在建立體外循環(huán)前行術(shù)前食道超聲檢查,并應(yīng)用三維重建模式測(cè)量二尖瓣前葉瓣環(huán)纖維三角區(qū)距離,術(shù)后將該數(shù)據(jù)與術(shù)中外科醫(yī)生用測(cè)環(huán)器測(cè)量選用的成形環(huán)大小進(jìn)行比較以評(píng)估術(shù)前3D-TEE測(cè)量二尖瓣前葉三角區(qū)距離是否可作為二尖瓣成形術(shù)前評(píng)估成環(huán)大小的一種可選方法。結(jié)果 54例術(shù)后即時(shí)評(píng)估二尖瓣反流程度為輕微或無(wú)二尖瓣反流,這54例在術(shù)前3D-TEE測(cè)量二尖瓣前葉瓣環(huán)纖維三角區(qū)距離的數(shù)值與術(shù)中測(cè)環(huán)器測(cè)量所選用成形環(huán)大小數(shù)值一致,兩種測(cè)量方法之間的相關(guān)性及一致性高。結(jié)論 3D-TEE測(cè)量二尖瓣前葉瓣環(huán)三角區(qū)距離可作為二尖瓣成形術(shù)中成形環(huán)大小選擇的一種術(shù)前評(píng)估方式。
Abstract:
Objective To estimate the feasibility of ring size in mitral valvuloplasty using 3D transesophageal echocardiography(3D-TEE)to measure the distance between the anterior lobe of the mitral ring.Methods A total of 60 patients who underwent mitral valvuloplasty for mitral regurgitation from October 2018 to January 2021 were selected.Preoperative esophageal ultrasonography was performed in all patients before the establishment of cardiopulmonary bypass,and three-dimensional reconstruction model was used to measure the distance of mitral valve anterior annulus fiber trigone.This data was compared with the intraoperative measurement of the selected ring size by the surgeon using a ring gauge to evaluate whether preoperative 3D-TEE measurement of the anterior trigonal distance of the mitral valve could be an alternative method for evaluating the ring size before mitral valvular plasty.Results The degree of mitral regurgitation in 54 cases was evaluated immediately after operation as slight or no mitral regurgitation. The value of the fiber triangle distance of the anterior mitral valve ring measured by 3D-TEE before operation was consistent with the size of the formed ring measured by the intraoperative ring tester. The correlation and consistency between the two measurement methods were high.Conclusion 3D transesophageal ultrasound(3D-T-EE)measureing the triangular distance of the anterior mitral valve ring can be used as an alternative for the size of the mitral valve ring during mitral valve plasty preoperative assessment.

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備注/Memo

備注/Memo:
1 上海市影像醫(yī)學(xué)研究所
更新日期/Last Update: 2021-10-15