应用右心超声造影诊断无顶冠状静脉窦综合征  

Diagnosis of unroofed coronary sinus syndrome with right heart contrast echocardiography

作　　者：冯天鹰 何怡华[2] 李治安[2] 哈斯[3] 薛超[2] 郎瑞[2] 乔春梅[3] 

机构地区：[1]内蒙古自治区人民医院超声科,内蒙古呼和浩特010017 [2]首都医科大学附属北京安贞医院超声诊断科,北京100029 [3]内蒙古医科大学附属医院超声诊断科,内蒙古呼和浩特010050

出　　处：《生物医学工程与临床》2013年第4期335-339,共5页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨右心超声造影对无顶冠状静脉窦综合征（UCSS）的诊断意义,提高对该病的诊断率。方法选择2005年3月~2012年6月在内蒙古医科大学附属医院收治并手术UCSS患者12例,其中男性8例,女性4例;年龄16～34岁,平均年龄22.08岁。与其手术结果对照,回顾性分析其二维超声心动图与右心超声造影表现。结果 12例患者行常规经胸超声心动图检查正确诊断5例,漏诊7例,符合率41.67%;同时应用右心超声造影符合率为83.33%;所有患者全部经手术证实。9例UCSS合并永存左上腔静脉患者的右心超声造影的影像学显影顺序与3例单纯UCSS患者存在不同。结论常规经胸超声图怀疑冠状静脉窦间隔缺损的存在时,应用右心超声造影检查可以提高诊断率,避免漏诊。超声造影对该病诊断具有重要意义。Objective To explore the value of right heart contrast echocardiography in diagnosing unroofed coronary sinus syndrome（UCSS）,and improve the accuracy of ultrasonic diagnosis.Methods From March 2005 to June 2012,a total of 12 patients with UCSS were enrolled,included 8 males and 4 females,who were 16-34 years old with a mean age of 22.08.The ultrasound diagnosis of the 12 cases was compared with surgical findings,the right heart contrast echocardiography and UCSS were retrospectively studied.Results The 12 cases were treated with transthoracic echocardiography,5 cases were diagnosed correctly and 7 were missed diagnosis（coincidence rate was 41.67 %）,the right heart contrast echocardiography diagnosis rate was 83.33 %,and all patients were confirmed by surgery.The imaging enhancement sequences of 9 cases UCSS combined with left upper vena cava were different from 3 cases of UCSS.Conclusion It is demonstrated that application of right heart contrast echocardiography could improve the diagnostic accuracy of UCSS and avoid missed diagnosis,contrast echocardiography has important meaning for diagnosing UCSS.

关 键 词：无顶冠状静脉窦综合征 二维超声心动图 右心超声造影 人 

分 类 号：R445.1[医药卫生—影像医学与核医学]