隔瓣后型室间隔缺损左心室造影与心脏直视手术对照(附20例报告)  

Left Ventricular Angiography of Posterior Septal Cusp VSD and Contrastion with Operation

作　　者：黄穗[1] 秦增辉[1] 李燕燕 

机构地区：[1]武汉市儿童医院放射科,430016

出　　处：《现代医用影像学》1998年第1期17-19,共3页Modern Medical Imageology

摘　　要：目的：总结三尖瓣隔瓣后室间隔缺损左心室造影特点，为心脏手术提供右心切口位置及探查路径的选择。材料与方法：回顾性分析20例心内手术证实为隔辩后型空间隔缺损左心室造影影像学改变与手术所见加以对照。结论：隔瓣后型室间隔缺损典型左心室造影改变：1）“膜部室隔瘤”。2）单束或多束状左向右射流征。3）前中部室间隔无遮盖征。作者强调通过与手术对照证明，“膜部室隔瘤”征象并非室间隔缺损闭合征象，系三尖瓣隔瓣粘连且突向右心室所形成。Purpose: To look into the sign of selective left sided cardiography for posterior septal cusp VSD (PSCVSD);supply incisive location and passage selection in cardial operation. Materials and metheds: 20 Cases of PSCVSD were retrospectiveanalysised; all look left sided cardiography and contrasted with cardial operation. ResuIts: The typical left sided cardiography signswere follows: (1) The tumor of membranous septum. (2) Monobeam or multibeam shunt sign. (3) Anteromedian ventricularseptum non -blocking sign. Conclusion: It was verificated by contrastion that the tumor of membranous septum sign was not theocclusion sign of VSD, but was due to adhesion of septal cusp and projection to right ventricular.

关 键 词：隔瓣后室缺 右心室造影 心脏手术 影像学诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R654.2[医药卫生—诊断学]