斑点追踪超声心动图在系统性红斑狼疮亚临床心肌损害评估中的应用进展
Advances in the Application of Speckle Tracking Echocardiography in the Evaluation of Subclinical Myocardial Damage in Systemic Lupus Erythematosus
DOI: 10.12677/acm.2026.1693127, PDF,   
作者: 裴新元：北华大学临床医学院，吉林 吉林
关键词: 系统性红斑狼疮；斑点追踪；心肌损害；Systemic Lupus Erythematosus； Spot Tracking； Myocardial Injury
摘要: 心脏损害是系统性红斑狼疮(SLE)病程中常见严重并发症，也是影响患者生存的核心诱因。传统超声心动图仅能检出中晚期显著心功能异常，对无临床症状的亚临床心肌病变检出能力有限。斑点追踪成像(STI)可定量测算心肌形变相关指标，可独立依托心肌声学斑点追踪轨迹，精准定量测算心肌纵向、圆周、径向形变相关参数，实现心肌细微功能损害的早期量化评估。现已广泛应用于SLE心肌损害的早期筛查工作。此文系统梳理斑点追踪超声心动图在SLE亚临床心肌损害评估中的临床应用与研究进展。
Abstract: Cardiac damage is a common and serious complication in the course of systemic lupus erythematosus (SLE) and a key factor affecting patient survival. Conventional echocardiography can only detect significant cardiac dysfunction in the middle to late stages of the disease and has limited ability to detect subclinical myocardial lesions in asymptomatic patients. Spot-Tracking Imaging (STI) can quantitatively measure parameters related to myocardial deformation. By independently tracking acoustic spots on the myocardium, it accurately quantifies parameters related to longitudinal, circumferential, and radial myocardial deformation, enabling early quantitative assessment of subtle myocardial functional damage. It is now widely used for the early screening of myocardial damage in SLE. This article systematically reviews the clinical applications and research progress of speckle-tracking echocardiography in the assessment of subclinical myocardial damage in SLE.
文章引用：裴新元. 斑点追踪超声心动图在系统性红斑狼疮亚临床心肌损害评估中的应用进展[J]. 临床医学进展, 2026, 16(9): 974-981. https://doi.org/10.12677/acm.2026.1693127

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