彩色多普勒超声诊断室间隔夹层瘤的临床价值

发布时间：2018-02-11 07:44

本文关键词： 主动脉窦瘤冠状动脉瘘室间隔夹层瘤超声心动图　出处：《中国超声医学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨彩色多普勒超声心动图对室间隔夹层瘤的诊断价值及临床意义。方法回顾性分析8例超声心动图首诊的室间隔夹层瘤患者的超声心动图检查资料。结果 (1)8例室间隔夹层瘤患者中4例为主动脉窦瘤破入室间隔,其中3例为右冠窦瘤破裂,1例为左冠窦瘤破裂;3例为冠状动脉瘘所致,其中2例为右冠状动脉瘘入室间隔,1例为左冠状动脉瘘入室间隔;1例为感染性心内膜炎主动脉瓣及瓣周感染致室间隔夹层瘤形成。(2)8例患者超声心动图除原发病的表现外,均表现为室间隔内囊腔的形成,其中5例囊腔位于室间隔的基底段,为主动脉窦瘤破裂及感染性心内膜炎所致,可见其破口与主动脉右冠窦或左冠窦相连通;另外3例囊腔位于室间隔的中下段,为冠状动脉瘘瘘入室间隔所致,可见其破口与扩张的冠状动脉相连通。结论超声心动图可对室间隔夹层瘤提供及时、准确的诊断,并可为明确病因及手术方式的选择提供重要依据。
[Abstract]:Objective to investigate the diagnostic value and clinical significance of color Doppler echocardiography in the diagnosis of interventricular septal dissection tumor. Methods the data of echocardiography in 8 patients with interventricular septal dissection tumor first diagnosed by echocardiography were retrospectively analyzed. In 8 patients with interventricular septal dissection, 4 cases were aneurysm of aortic sinus into the interventricular septum. Among them, 3 cases were rupture of right coronary sinus aneurysm, 1 case was rupture of left coronary sinus tumor, 3 cases were caused by coronary artery fistula. Among them, 2 cases were right coronary artery fistula, 1 case was left coronary artery fistula, 1 case was septal septum, 1 case was infective endocarditis, and 8 cases had interventricular septal dissection caused by infection of aortic valve and perivalvular infection. 5 cases were located in the basal segment of the interventricular septum, which was caused by ruptured aortic sinus aneurysm and infective endocarditis. The other 3 cases were located in the middle and lower part of the ventricular septum, which was caused by the coronary artery fistula. The rupture was connected with the dilated coronary artery. Conclusion Echocardiography can provide timely and accurate diagnosis for the interventricular septal dissection tumor. It can provide important basis for the choice of etiology and operation mode.
【作者单位】：温州医科大学附属第二医院超声影像科;河南省人民医院超声科;
【分类号】：R540.45;R541

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