胎儿完全型心内膜垫缺损尸检病理分析

发布时间：2018-04-17 10:07

本文选题：胎儿 + 完全型心内膜垫缺损　；参考：《心肺血管病杂志》2016年12期

【摘要】：目的:探讨完全型心内膜垫缺损(ECD)尸检解剖的难点和技巧。方法:选取安贞医院病理科尸检诊断完全型ECD的14例病例,与产前超声检查诊断结果对比,观察心脏结构,并按Rastelli进行分型,明确房、室间隔缺损的范围,房室瓣发育、瓣膜及腱索附着情况,观察是否合并其他心内畸形及其他脏器畸形;并测量心脏各项指标。结果:14例完全型ECD:1按Rastelli分型,A型12例,B型1例,C型1例;2单一完全型ECD 2例,仅合并其他心内畸形者5例,仅合并其他脏器异常或畸形者2例,同时合并其他心内畸形及其他脏器异常或畸形者5例。313例与超声诊断相同,1例不符。结论:掌握完全型ECD的分步解剖技巧,提高尸检诊断准确率,对临床及超声诊断有一定的意义。
[Abstract]:Objective: to investigate the anatomic difficulties and techniques of complete endocardial cushion defect (ECD).Methods: fourteen cases of complete ECD diagnosed by autopsy in Department of Pathology of Anzhen Hospital were selected and compared with the results of prenatal ultrasonography. The cardiac structure was observed and classified according to Rastelli. The range of atrial and ventricular septal defect and the development of atrioventricular valve were determined.The attachment of valves and chordae tendineae was observed, and other cardiac deformities and other organ deformities were observed.Results according to Rastelli classification of 14 cases of complete type ECD:1, 12 cases of type A were classified as type A, 1 case of type C type and 1 case of single complete type ECD, only 5 cases were complicated with other intracardiac malformations, and only 2 cases were complicated with other organ abnormalities or deformities.5 cases with other heart malformations and other organ abnormalities or deformities were found to be inconsistent with ultrasound diagnosis in 1 case.Conclusion: mastering the anatomical skills of complete ECD and improving the accuracy of autopsy diagnosis are of certain significance for clinical and ultrasonic diagnosis.
【作者单位】：首都医科大学附属北京安贞医院-北京市心肺血管研究所病理科;
【分类号】：R361.1

【相似文献】