Valsalva窦瘤破裂的超声诊断价值与分析  

Echocardiographic diagnosis of rupture of sinus of Valsalva aneurysm： analysis of 62 cases

作　　者：夏红梅[1] 高云华[1] 钱频[1] 王冬 杨成业[1] 

机构地区：[1]第三军医大学新桥医院超声诊断科,重庆400037

出　　处：《中华超声影像学杂志》2008年第5期394-396,共3页Chinese Journal of Ultrasonography

摘　　要：目的探讨Valsalva窦瘤破裂及合并畸形的超声表现与临床诊断价值。方法回顾性分析我院62例Valsalva窦瘤并破裂患者的临床资料，将超声检查结果与手术结果对照。结果62例患者中，术前超声诊断Valsalva窦瘤破裂58例（符合率93．5％），误诊为法洛四联症、三尖瓣反流各1例（3．2％），漏诊2例（3．2％）；常见的合并畸形有干下室间隔缺损（33例，53．2％）、主动脉瓣发育不良伴重度主动脉瓣关闭不全（11例，17．7％）；超声报告窦瘤部位及破入腔室与手术结果一致，超声所测室间隔缺损大小明显低于手术所见。结论超声心动图对Valsalva窦瘤破裂的部位、破人心腔及主要合并畸形的诊断与鉴别诊断具有较大的价值。Objective To evaluate the echocardiographic findings and clinical application in the rupture of sinus of Valsalva aneurysm（SVA）. Methods Typical transthoracic echocardiographic appearance of 62 patients with SVA and accompanied abnormality were reviewed and compared with operative results. Results Fifty-eight （93.5%） cases SVA were preoperatively discovered by echocardiography, while 2 （3.2%） misdiagnosed as tetralogy of Fallot and tricuspid regurgitation and 2 （3.2%） missed diagnosis. Accompanying teratisms included frequently ventricular septal defect（VSD）（33 cases, 53.2%） and aortic valve dysplasia（ 11 cases, 17.7 % ）. The rupture site and the drainage chamber were essentially consisted with surgery,while the size of VSD measured by echocardiography was significantly smaller than that measured in operation. Conclusions Transthoracic echocardiography is valuable in diagnosing of the site, drainage chamber and the accompanied abnormality of SVA.

关 键 词：超声心动描记术 VALSALVA窦 主动脉破裂 

分 类 号：R686[医药卫生—骨科学]