单侧肺动脉异常起源于主动脉的影像学诊断  

Imaging diagnosis of unilateral anomalous origin of pulmonary artery from aorta

作　　者：梁秋香[1] 黄小勇[1] 

机构地区：[1]首都医科大学附属北京安贞医院放射科,北京100029

出　　处：《中华放射学杂志》1999年第11期742-744,共3页Chinese Journal of Radiology

摘　　要：目的　评价单侧肺动脉异常起源于主动脉的影像学诊断。方法　回顾性分析了９ 例单侧肺动脉异常起源于主动脉患者的临床表现、Ｘ线征象、诊断方法和手术治疗资料，所有病人均做了Ｘ线平片、彩色多普勒超声心动图及心血管造影检查。结果　９ 例Ｘ线平片均有肺血增多，心脏增大。多普勒超声心动图检查６ 例漏诊，３ 例术前确诊。９ 例心血管造影均清楚显示该症的解剖畸形。结论　心血管造影是诊断单侧肺动脉异常起源于主动脉最可靠的手段。Objective To evaluate the imaging diagnosis of unilateral anomalous origin of pulmonary artery from aorta Methods 9 cases of unilateral anomalous origin of pulmonary artery from aorta were retrospectively analyzed, including clinical manifestations, X ray features, diagnostic methods, and surgical management All patients were studied with X ray plain film, color Doppler echocardiography, and angiocardiography Results All patients showed increased pulmonary circulation and cardiomegaly on X ray plain film 6 cases were missed and 3 correctly diagnosed preoperatively by color Doppler echocardiography The anomaly of all 9 cases was clearly displayed by angiocardiography Conclusion Angiocardiography is the most reliable method in the diagnosis of unilateral anomalous origin of pulmonary artery from aorta

关 键 词：肺动脉异常 心脏缺损 心血管造影术 X线诊断 

分 类 号：R541.104[医药卫生—心血管疾病] R445[医药卫生—内科学]