中国临床医学2016，Vol.23Issue(3)：299-302,4.
室壁运动异常患者左室射血分数超声心动图检测方法的选择
Selection of the echocardiographic methods for detecting left ventricular ejection fraction in patients with regional wall motion abnormality
摘要
Abstract
Objective:To explore the value of different echocardiographic indices on the detection of left ventricular ejection fraction (LVEF) in patients with left ventricular anterior and anterolateral wall motion abnormalities .Methods:Twenty-one patients with left ventricular anterior and anterolateral wall motion abnormalities were enrolled from Jan .2010 to Dec .2015 .The left ventricular ejection fraction (LVEF) of all subjects were measured by M-mode echocardiography ,two-dimensional echocardiography and apical biplane Simpson’s method ,and were compared with left ventricular angiography . Results:There were obvious differences in LVEF evaluation between left ventricular angiography method and M-mode echocardiography or two-dimensional echocardiography (P<0 .05) ,while the correlation between the angiographic method and apical biplane Simpson’s measurement was good .Further the subgroup analysis with the M-mode measurement of 55% as the boundary showed that there were no significant differences among the four kinds of methods when LVEF is more than or equal to 55% .And in patients with LVEF less than or equal to 55% ,LVEF measured by two-dimensional method and M-mode was higher than that of left ventricular angiography (P< 0 .05) ,and there was no statistical difference between Simpson's method and left ventricular angiography (P=0 .061 1) .Conclusions:For patients with left ventricular anterior and anterolateral wall motion abnormalities ,M-mode or two-dimensional echocardiography can be directly adopted when LVEF is more than or equal to 55% measured by M-mode;but if LVEF is less than or equal to 55% ,apical biplane Simpson’s method is recommended for determination .关键词
节段室壁运动异常/超声心动图/左室造影/射血分数Key words
regional wall motion abnormalities/echocardiography/left ventricular angiography/ejection fraction分类
医药卫生引用本文复制引用
赵刚,程蕾蕾,裴晓黎,宋飞艳,舒先红..室壁运动异常患者左室射血分数超声心动图检测方法的选择[J].中国临床医学,2016,23(3):299-302,4.基金项目
复旦大学附属中山医院人才培养计划-优秀骨干计划（2015ZSYXGG04）．Supported by Talent Development Program of Zhongshan Hospital ，Fudan University （2015ZSYXGG04）． （）
