冠状动脉瘘的超声诊断与临床对照分析

目的 进一步探讨超声心动图诊断冠状动脉瘘的价值。方法 对18例冠状动脉瘘患者的超声心动图表现与手术所见进行对比分析。结果 18例冠状动脉瘘有17例首先由超声诊断，采用彩色多普勒血流显像诊断的6例右冠状动脉瘘和4例左冠状动脉瘘的诊断符合率为100%，8例单发瘘的诊断符合率为100%，2例多发瘘病例，手术前未提示多个瘘口，5例左室瘘的二维超声心动图显示瘘口特征非常清楚。10例右室瘘和3例右房瘘超声虽然提示了瘘入腔室，但有6例未提示具体引流部位。结论 研究冠状动脉瘘的具体引流部位和多发瘘是超声工作者需要进一步做的工作。

The contrast study of echocardiographic diagnosis and operation in 18 patients with coronary artery fistula

Objective To further discuss the value of coronary artery fistula evaluated by echocardiography.Methods The echocardiographic results of 18 patients with coronary artery fistula were compared with the findings in operation.Results Seventeen in 18 patients were firstly diagnosed by echocardiography.The diagnostic accurate rate of 6 patients with right coronary artery fistula and 4 patients with left coronary artery fistula detected by color Doppler flow imaging was 100%,and that of 8 patients with single fistula was also 100%.Echocardiography didn't show multiora in 2 patients with multifistula,and displayed the characters of oras very clearly in 5 persons with left ventricular fistula.Echocardiography suggested the fistulas in 10 patients with right ventricular fistula and 3 patients with right atrial fistula,but didn't provide the precise localization of fistulous drainage site in 6 of them.Conclusions It needs more work for ultrasonic workers to study multifistula and the concrete place of inflow in coronary artery fistula.