右室异常肌束X线平片诊断的评价  

The Evaluation of X ray Plain Film Diagnosis of Anomalous Muscle Bundle of Right Ventricle

作　　者：杨东益[1] 罗建光[1] 刘顾岗[1] 杨树仁[1] 

机构地区：[1]湖南医科大学附属第二医院放射科

出　　处：《临床放射学杂志》1998年第5期273-275,共3页Journal of Clinical Radiology

摘　　要：目的：评价Ｘ线平片对右室异常肌束的诊断价值及限度。材料与方法：分析经手术证实的右室异常肌束７３例的Ｘ线平片表现，根据血液动力学改变，将此病分为３型：无分流型；左向右分流型；右向左分流型。结果：在Ｘ线平片上，右室异常肌束可表现下列征象：（１）右室增大与心腰凸出不相称（３５／７３例）；（２）左室增大与肺血增多不相称（１５／７３例）；（３）右室流出道处呈局限性凹陷（２３／７３例）。结论：Ｘ线平片检查对本病的诊断具有较大的限度，但若上述３个征象中有２个或３个征象同时存在时，结合临床表现，部分梗阻型病例可提示诊断。Objective: To evaluate the diagnostic value and limit of anomalous muscle bundle of the right ventricle on X ray plain film. Materials and Methods:Analysed 73 cases of anomalous muscle bundle of the right ventricle confirmed by operation. Divided the malformation into three types based on hemodynamics character: (1)No shunt; (2)Left to right shunt; (3)Right to left shunt.Results:On X ray plain film, the signs of the disease may be as follows: (1)The right ventricular enlargement does not suit the dilatation of pulmonary trunk (35/73 cases); (2)The left ventricular enlargment does not match the increased pulmonary flow (15/73 cases); (3)There is a local dent at the right ventricular outflow tract (23/73 cases).Conclusion: The limit of X ray plain film in diagnosis of the malformation is large, but if there are two or three signs above on a chest plain film, and combined with the clinic apperances, the diagnosis of the disease should be pointed out in part obstructive cases. Following ultrasound or angiocardiaography can confirm the existence of anomalous muscle bundle.

关 键 词：先天性心脏病 右室异常肌束 X线诊断 

分 类 号：R541.104[医药卫生—心血管疾病]