无顶冠状静脉窦综合征的超声心动图特征

发布时间：2018-06-24 01:08

  本文选题：无顶冠状静脉窦综合征 + 超声心动图　； 参考：《中国超声医学杂志》2017年07期

【摘要】：目的对比超声与外科手术结果,回顾性分析无顶冠状静脉窦综合征的超声特点、伴发畸形和漏诊误诊原因,进而提高术前诊断准确率。方法回顾性分析经手术证实无顶冠状静脉窦综合征患者70例,分析其临床资料及超声心动图表现,并将术前超声结果与手术结果相对照。结果 (1)70例无顶冠状静脉窦综合征中,Ⅰa型18例,Ⅰb型9例,Ⅱa型8例,Ⅱb型10例,Ⅲa型8例,Ⅲb型17例。合并永存左上腔静脉34例。(2)无顶冠状静脉窦综合征最常合并的心内畸形为:继发孔房间隔缺损35例(50%),室间隔缺损13例(18.6%),房室瓣裂9例(12.8%)。(3)术前未诊断17例,其中Ⅰa型8例,Ⅰb型1例,Ⅱa型2例,Ⅱb型3例,Ⅲa型1例,Ⅲb型2例。结论超声心动图是诊断无顶冠状静脉窦综合征病理分型、血流动力学及伴发畸形的首选方法,对伴发畸形的认识有助于提高术前诊断准确率。
[Abstract]:Objective to compare the results of ultrasound and surgery, and to analyze retrospectively the ultrasonic features, the causes of misdiagnosis and misdiagnosis in patients with anatrophic coronary sinus syndrome (CSS), and to improve the accuracy of preoperative diagnosis. Methods the clinical data and echocardiographic findings of 70 patients with no top coronary sinus syndrome proved by operation were analyzed retrospectively. The results of preoperative ultrasound were compared with those of surgery. Results (1) there were 18 cases of type 鈪，

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