摘要
目的分析三维斑点追踪技术(3D-STI)与速度向量成像(VVI)技术在儿童重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并心功能异常术后疗效评估中的应用价值,为临床应用提供依据。方法选择2018年1月—2021年1月温州市人民医院收治的50例重度OSAHS合并心功能异常患儿作为观察组,同期50例健康体检儿童作为对照组。观察组患儿均接受手术治疗,术后接受3D-STI检查和VVI扫描检查。采用Spearman相关性检验分析术后检测各指标与患儿疗效的关系。结果两组右心室整体径向应变(RVGRS)、右心室整体圆周应变(RVGCS)、右心室整体纵向应变(RVGLS)、右心室舒张早期峰值应变率(RV-SRe)、右心室舒张晚期峰值应变率(RV-SRa)、RV-SRe/RV-SRa比较差异均有统计学意义(均P<0.05)。观察组患儿治疗后治愈14例,显效21例,有效12例,无效3例。不同临床疗效的患儿3D-STI检查和VVI检查各指标比较差异均有统计学意义(均P<0.05),其中治愈组RVGRS、RV-SRe、RV-SRa、RV-SRe/RV-SRa最高,RVGCS及RVGLS水平最低。RVGRS、RV-SRe、RV-SRa、RV-SRe/RV-SRa与临床疗效呈正相关,RVGCS、RVGLS与患儿临床疗效呈负相关(均P<0.05)。结论3D-STI与VVI技术各指标评估结果与儿童重度OSAHS合并心功能异常术后疗效呈显著相关关系。
Objective To analyze the pplicaion value of 3-dimensional speckle tracking imaging(3D-STI)and veloeity vector ima-ging(VVI)in postoperative eficarey evaluation of severe obstructive sleep apnea hypopnea syndlome(OSAHS)complicated with cardiae dysfunction in chidren.Methods Flly children with severe OSAHS conmplicated with cardiae dysfunction treated in Wenzhou People's Ho-pial from Janury 2018 to January 2021 were seleted as obevation group,and 50 heally children were selected as control group during the.same period.The children in olservation group received surgical treatment and 3d STI,VVI seanning afler operation.Spearman corelation.test was used to analyxe the relationships between postoperative indexes and elinical lficacy.Results There were sltititillyl signifcant diferences in right ventricle global radial strain(RVGRS),right venticular global eireumferential strain(RVCCS).right ventricle global longiudinal strain(RVGLS),right ventricle strain ratle of early diustolie(RV-SRe),right ventricle strain rale of advanced diastolie(RV-SRa),and RV-SRe/RV-SRa between the two groups(P<0.05).Afler reatment,14 cases in observation group were eured,21 ceases were markedly lletive,12 eases were eletive,and 3 ceases were inffetive There were signifcant diferences in the indexes of 3d-STT and VVI in childen with severe OSAHS complicated with cardiac dysfunetion with dfferett elinical eficacies(P<0.05).RVGRS,RV-SRe,RV-SRa,and RV-SRe/RV-SRa in cure goup were the highest,RVCCS and RVCLS were the lowest.RVCRS,RV-SRe,RV-SRa,and RV-SRe/RV-SRa were positively crrelated with clinical eficacy.RVCCS and RVGLS were negaively crrelated with clinieal fficacey(P<0.05).Conclusion There are sgnifiant corelalions between the evaluation resuls of 3d-ST1 and VVI and postoperaive curative fflet of children with severe 0SAHS complicated with cardliae dyufunction.
作者
尤利益
徐立新
陈登
金纯纯
YOU Li-yi;XU Li-xin;CHEN Deng;JIN Chun-chun(Department of Ultrasound,Wenzhou People's Hospital,Wenzhou,Zhejiang 325400,China)
出处
《中国妇幼保健》
CAS
2023年第19期3809-3812,共4页
Maternal and Child Health Care of China
基金
浙江省温州市基础性科研项目(Y2020800)。
关键词
三维斑点追踪技术
速度向量成像技术
重度阻塞性睡眠呼吸暂停低通气综合征合并心功能异常
疗效评估
3-Dimensional speckle tracking imaging
Velocity vector imaging
Severe obstructive sleep apnea hypopnea syndrome com-plicated with cardiac dysfunction
Efficacy evaluation
