无顶冠状静脉窦综合症的超声心动图诊断  

The Diagnosis of The Unroofed Coronary Sinus Syndrome with Echocardiography

作　　者：朱梅[1] 张楠[1] 冯娟[1] 郭振伟 

机构地区：[1]山东大学附属省立医院超声科,济南市250021

出　　处：《中国超声医学杂志》2011年第7期663-665,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨应用超声心动图诊断无顶冠状静脉窦综合症的价值。方法回顾性分析17例无顶冠状静脉窦病例,将其超声心动图表现与手术结果进行对照分析,总结超声心动图的特征性表现。结果 17例无顶冠状静脉窦病例中,超声心动图正确诊断15例,疑诊1例,漏诊1例,诊断符合率为94%。所有病例中,合并永存左位上腔静脉11例,完全型房室间隔缺损6例,完全性肺静脉异位引流1例,部分型肺静脉异位引流2例,完全性大动脉转位1例,矫正性大动脉转位1例,中央孔型房间隔缺损2例,上腔型房间隔缺损2例。结论超声心动图对无顶冠状静脉窦的诊断具有重要价值,可以确诊缺损部位、合并畸形、有无永存左位上腔静脉,可为手术提供重要的信息。Objective To evaluate the value of the echocardiography in diagnosis of unroofed coronary sinus syndrome. Methods 17 patients with unroofed coronary sinus were analyzed. The echocardiographic results were compared with surgery and the special features of echocardiography were summarized. Results In the 17 patients with unroofed coronary sinus, 15 cases were correctly diagnosed. The diagnosis accordance rate is 94%. 6 cases were complicated by atriventricular septal defect, 11 by left superior vena cava, 1 by tatle pulmonary venous anomalous connection, 2 by partial anomalous pulmonary venous connection, 1 by transposition of the great arteries, 1 by corrected transposition of the great arteries and 4 by atrial septal defect. Conclusions Echocardiography is valuable in the diagnosis of unroofed coronary sinus and it is an important instruction to the cardiac surgery.

关 键 词：无顶冠状静脉窦 超声心动图 

分 类 号：R540.45[医药卫生—心血管疾病] R541.1[医药卫生—内科学]