室间隔缺损的病理分型与临床病理研究  

Pathologic Classification of 64 Specimens of Ventricular Septal Defect

作　　者：陆欧伦 胡彦新 张莹 梁书峰 奚政君 张忠德[2] 刘薇廷 陈树宝[3] 刘敏桢[3] 周爱卿[3] 徐允芝 

机构地区：[1]上海第二医科大学超声医学教研室 [2]上海第二医科大学新华医院小儿病理科 [3]上海第二医科大学新华医院小儿内科

出　　处：《中国超声医学杂志》1991年第2期90-94,共5页Chinese Journal of Ultrasound in Medicine

摘　　要：1.本文对64例室间隔缺损病变作了回顾性分析,发现膜部与肌部室间隔联合性缺损的发病率最高,占室间隔缺损总数64例的75％。其它类型均较少见,如单纯膜部室间隔缺损3例,占1.6％;肌部室间隔缺损6例,占9.3％:双动脉瓣下漏斗区缺损7例,占10.9％。 2.建议采用统一的解剖学命名与分类方法。将室间隔缺损分为四类(10型)。即I,膜部室间隔缺损,Ⅱ1,肌部光滑区室间隔缺损:_Ⅱ2,肌部小梁区室间隔缺损,Ⅱ3,肌部漏斗区室间隔缺损:Ⅱ4,肌部分区融合性室间隔缺损。Ⅲ1.膜部与光滑区肌部联合性室间隔缺损:Ⅲ2,膜部与小梁区肌部联合性室间隔缺损;Ⅲ3,膜部与漏斗区肌部联合性室间隔缺损:Ⅲ4,膜部与肌部分区联合性缺损.Ⅳ,双动脉瓣下漏斗区肌部室间隔缺损。1) A retrospective study of 64 specimens of ventricular septal defect (VSD) was engaged in this paper. The incidence of membranous-muscular septum combined defect (perimembranous septal defect) is the highest one (75%) among VSD. The incidence of the membranous type of VSD is 4.6%(3 specimens), the muscular septal defect 9.3%(6 specimens) and the double committed subarterial defect 10.9% (7 specimens).2) We propose that VSD can be classified into Ⅳ groups (10 types) on anatomic basis: Ⅰ the membranous septal defect (M-VSD), Ⅱ1 the muscular-smooth part VSD (S-VSD), Ⅱ2 the muscular-trabecular part VSD (T-VSD), Ⅱ3 the muscular-infundibular part VSD (I-VSD), Ⅱ4 the muscular parts combined VSD (C-VSD),Ⅲ1 the membranous-smooth part combined VSD (MS-VSD), Ⅲ2 the membranous-trabe-cular part combined VSD (MT-VSD), Ⅲ3 the membranous-infundibular part combined VSD (MI-VSD), Ⅲ4 the membranous-muscular part combined VSD (MC-VSD), Ⅳ the double committed subarterial .defect-(DCSA).

关 键 词：室间隔缺损 病理分型 临床病理 

分 类 号：R541.102[医药卫生—心血管疾病]