超声心动图对完全肺静脉异位引流的诊断价值  

Value of the diagnosis of total abnormal pulmonary venous connection by echocardiography

作　　者：杨军[1] 姜克新[1] 王晓光[1] 栾朝霞[1] 张颖[1] 韩冰[1] 刘守君[1] 

机构地区：[1]中国医科大学附属盛京医院超声科,辽宁沈阳110004

出　　处：《中国临床医学影像杂志》2007年第5期319-321,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨超声心动图对完全肺静脉异位引流的诊断价值。方法:回顾分析15例完全型肺静脉异位引流患儿超声心动图诊断资料,应用仪器为Philips IE33和ATL3000超声诊断系统。结果:15例患儿超声心动图均具有特征性改变:右房、右室增大,左房、左室较小。左房壁无肺静脉开口,于左房左后上方见一共同肺静脉干,均伴有房间隔缺损(10例)和/或卵圆孔未闭(6例)。15例中心上型8例(53.3%),心内型5例(33.3%),未确定型2例(13.4%)。心上型中2例(25%)伴有肺静脉引流部位狭窄。结论:完全肺静脉异位引流在超声心动图上具有特征性表现,超声心动图可确诊,并在确定引流部位及是否伴有引流部位狭窄上具有重要诊断价值,此外还可以评价肺动脉高压的程度。Objective： The significance of the diagnosis of total abnormal pulmonary venous connection （TAPVC） by echocardiography is investigated. Methods： The echocardiography data of TAPVC were analyzed, Philips IE33 and ATL 3000 Ultrasonic diagnostic systems were used, Results： The characteristic changes were observed in all the cases where the right atria and right ventricles were enlarged, and the left atria （LA） were smaller than normal, there was not any entrance of pulmonary veins detected on the wall of left atria, and the common pulmonary veins were seen in the upper left of the LA. In all cases atrial septal defects（in 10 cases） and/or patent foramen ovale（in 6 cases） existed. Among the 15 cases, there were 8 cases （53.3%） with the supracardiac connection, 6 with cardiac connection, and the other 2 cases （13.4%） were undetermined. There were 2 cases accompanied by pulmonary venous obstruction in the supracardiac cases. Conclusion： There were characteristic signs in the echocardiography in the patients with TAPVC. The accurate diagonosis can be made. Echocardiograpy is significant to determine the sites of drainage of pulmonary veins and pulmonary obstruction.

关 键 词：肺静脉 畸形 超声心动描记术 

分 类 号：R543.2[医药卫生—心血管疾病] R445.1[医药卫生—内科学]