超声心动图诊断主动脉窦瘤破裂的价值  

Diagnostic value of echocardiography in rupture of aortic sinus aneurysm

作　　者：姥义[1] 熊文峰[2] 赵宝珍[2] 桑玉顺[1] 施海建[1] 

机构地区：[1]解放军第101医院超声科,江苏无锡214044 [2]第二军医大学附属长海医院超声科,上海200433

出　　处：《肿瘤影像学》2014年第1期65-67,共3页Oncoradiology

摘　　要：目的探讨超声心动图在主动脉窦瘤破裂诊断中的应用价值。方法回顾性分析20例经手术或介入治疗证实为主动脉窦瘤破裂患者的超声心动图声像图表现。结果 20例主动脉窦瘤破裂患者中,右冠窦瘤破入右室流出道9例、右冠窦瘤破入右室3例、右冠窦瘤破入右房1例、无冠窦瘤破入右房7例。其中合并室间隔缺损11例,主动脉瓣关闭不全6例,二尖瓣关闭不全5例,三尖瓣关闭不全4例,动脉导管未闭1例。超声心动图均清楚显示20例主动脉窦瘤破裂患者破口的部位、形态、大小、数目及破入部位。结论超声心动图诊断主动脉窦瘤破裂的特异性强,且简便、准确,可作为诊断主动脉窦瘤破裂的首选影像学检查方法。Objective To evaluate the diagnostic value of echocardiography in rupture of aortic sinus aneurysm （RASA）. Methods Ultrasonographic features of 20 patients with RASA confirmed with surgical operation and （or） coronary artery angiography were analyzed retrospectively. Results RASA was detected in twenty patients, nine with drainages from the right sinus aneurysm into the right ventricular outflow tract,three from the right sinus aneurysm into the right ventricle, one from the right sinus aneurysm into the right atrium, and seven from noncoronary sinus aneurysm into the right atrium. Among them, 9 were complicated with ventricular septum defects, 6 were complicated with aortic insufficiency, 5 were complicated with mitral insufficiency tricuspid insufficiency, 4 were complicated with tricupsid insufficiency, and one was complicated with patent ductus arteriosus. Echocardiography could show RASA distinctly including the location, shape, size and number. Conclusion Echocardiography is a simple and reliable technique with specific diagnostic value in RASA. It may be the first-line imaging modality in the diagnosis of RASA.

关 键 词：超声心动图 主动脉窦瘤 破裂 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]