三维超声心动图诊断冠状动脉粥样硬化性心脏病的应用与进展

萌 张(承德医学院附属医院超声科，中国)

摘要

在冠状动脉粥样硬化性心脏病（coronary heart atherosclerotic disease，CAD）的诊断过程中，常见评估工具有超声心动图、CT、核磁共振、冠状动脉造影、心肌核素显像等。其中，具有无创性、无放射性、实时动态、经济便民等优点的超声心动图较为常用，具有放射性、价格高、检查时间长、禁忌症多等缺点的CT、核磁共振、冠状动脉造影在临床上的应用受多方面限制。常规的二维超声心动图（two -dimensional echocardiography, 2-DE）在临床实践中普及率高，但仍有不足之处，如几何学假设、切面单一等。如今，三维超声心动图（three-dimensional echocardiography，3-DE）不断发展，已经完成由静态向动态再到实时的突破。接下来论文将综述3-DE在诊断CAD上的应用与进展。

关键词

三维超声心动图；实时；冠状动脉粥样硬化性心脏病

参考

Nimao Wu, Jianli Ren. Application progress of real-time three-dimensional echocardiography in evaluation of coronary heart atherosclerotic disease[J]. Journal of Clinical Ultrasound Medicine,2021,23(3):216-219.

Chuangye Lyu. Diagnostic Value of Adenosine Stress Myocardial Contrast Echocardiography in Chronic Coronary Sydrome[D]. Southern Medical University,2020.

Fengjiao Qi, Hongfong Ma. Value of echocardiography in diagnosis of segmental wall motion abnormalities in coronary heart disease[J]. Medical Journal of Chinese People’s Health,2022,34(12):139-141.

Ming’e Hou. Application of Three-dimensional Echocardiography in the Diagnosis of Coronary Heart Disease[J]. Heilongjiang Medical Journal,2021,45(7):766-767+769.

代燕燕,王福华,郭靖涛,等.128层螺旋CT与三维超声心动图诊断冠心病价值比较[J].临床军医杂志,2019,47(3):290-291.

Shuang Zhang. Evaluation of Left Ventricular Structure and Systolic Function in Patients with Coronary Heart Disease by Full Volume Three—dimensional Echocardiography[J]. Jinzhou Medical University,2020,41(1):83-85.

Nimao Wu, Clinical Study of Three-Dimensional Echocardiograph-ic Automated Quantitative Technology For Evaluating Left Heart Chamber Volumes and Function in Patients With Coronary Athero-sclerotic Heart Disease[D]. Chongqing Medical University,2021.

Yuancheng Chen. Comparative study of the left ventricular volume by three-dimensional HeartModel full-automatic quantitative with cardiac magnetic resonance[D]. Fujian Medical University,2020.

Hebin Zhang, Feng Gao, ZheFeng Zheng, et al. Characteristics of left ventricular rotation and twist and their correlation with myocardial perfusion in patients with coronary slow flow[J]. Chin J Med Ultrasound(Electronic Edition),2020,17(4):320-326.

朱长玉,张振东,过姿芳.多巴酚丁胺负荷实时三维及二维超声试验对冠心病的诊断价值[J].现代实用医学,2018,30(1):25-27+141.

韩立菊,常琳,周长钰.实时三维超声检测心肌节段参数评价冠状动脉狭窄程度[J].临床荟萃,2014,29(12):1326-1329.

Selvakumar D, Brown P, Geenty P, et al. Comparative Assessments of Left and Right Ventricular Function by Two-Dimensional, Contrast Enhanced and Three-Dimensional Echocardiography with Gated Heart Pool Scans in Patients Following Myocardial Infarction[J]. Am J Cardiol, 2020,1(134):14-23.

Liu R, Xu L A, Zhao Z, et al. Application of two-dimensional speckle-tracking echocardiography in radiotherapy-related cardiac systolic dysfunction and analysis of its risk factors: a prospective cohort study[J]. BMC cardiovascular disorders,2024(1):328.

Di Lisi D, Madaudo C, Ortello A, et al. Assessment of cancer therapy-related cardiac dysfunction in breast cancer women using a new speckle tracking echocardiography index: The GAVS[J]. Echocardiography (Mount Kisco, N.Y.),2021,41(8):e15881.

MacIver D H, Zhang H, Johnson C, et al. Global longitudinal active strain energy density (GLASED): age and sex differences between young and veteran athletes[J]. Echo research and practice,2011(1):17.

DOI: http://dx.doi.org/10.12345/yzlcyxzz.v7i7.19725