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| 成人右旋心及合并畸形彩色多普勒超声心动图特征 | |
| 引用本文： | 侯传举,李燕萍,邓东安,朱鲜阳,韩秀敏,刘剑立,胡斌,王巧玲. 成人右旋心及合并畸形彩色多普勒超声心动图特征[J]. 中国医学影像学杂志, 2011, 19(3): 193-196. DOI: 10.3969/j.issn.1005-5185.2011.03.009 |
| 作者姓名： | 侯传举 李燕萍 邓东安 朱鲜阳 韩秀敏 刘剑立 胡斌 王巧玲 |
| 作者单位： | 1. 沈阳军区总医院,辽宁沈阳,110840 2. 解放军202医院妇产科,辽宁沈阳,110003 3. 辽宁省武警总队医院,辽宁沈阳,110730 |
| 摘 要： | 目的探寻成人右旋心及合并畸形的彩色多普勒超声心动图(CDE)特征。资料与方法应用CDE检查30例成人右旋心及合并畸形,寻找成人右旋心及合并畸形CDE特征,所有病例均心血管造影对照,26例手术证实。结果根据CDE特征,对所有病例全部做出正确诊断。成人右旋心及合并畸形CDE特征明显:①成人右旋心合并4种先天性心脏病,其中SLL型矫正性大动脉转位(80.0%)多见,AⅢ型心室双入口(10.0%)、SLL型右心室双出口(6.7%)和孤立性房间隔缺损(3.3%)少见。②成人右旋心无论合并那种先天性心脏病,CDE表现均为心房正位。③成人右旋心合并矫正性大动脉转位、心室双入口和右心室双出口的大动脉均为左转位。④成人右旋心合并复杂先天性心脏病多有肺动脉狭窄(93.3%)。肺动脉狭窄时,彩色多普勒血流显像显示过肺动脉五彩镶嵌射流束血流信号。⑤合并房间隔缺损和室间隔缺损时,彩色多普勒血流显像显示过房间隔或室间隔左向右或双向五彩镶嵌分流束血流信号。结论成人右旋心及合并畸形的CDE特征明显,应用CDE对成人右旋心及合并畸形可做出正确诊断,但检查者必须熟练掌握本病解剖。在探查手法上与正常位心脏明显不同,检查前阅读X线正位胸片对CDE正确诊断有帮助,并可提高检查效率。 |
| 关 键 词： | 右位心 超声心动描记术 超声检查,多普勒,彩色 血管阻力 诊断,鉴别 |
A Study on Imaging Characteristics of Color Doppler Echocardiography on Adult Dextrocardia with Cardiovascular Malformations |
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| HOU Chuanju,LI Yanping,DENG Dongan,ZHU Xianyang,HAN Xiumin,LIU Jianli,HU Bin,WANG Qiaoling. A Study on Imaging Characteristics of Color Doppler Echocardiography on Adult Dextrocardia with Cardiovascular Malformations[J]. Chinese Journal of Medical Imaging, 2011, 19(3): 193-196. DOI: 10.3969/j.issn.1005-5185.2011.03.009 | |
| Authors: | HOU Chuanju LI Yanping DENG Dongan ZHU Xianyang HAN Xiumin LIU Jianli HU Bin WANG Qiaoling |
| Affiliation: | HOU Chuanju LI Yanping DENG Dongan ZHU Xianyang HAN Xiumin LIU Jianli HU Bin WANG Qiaoling General Hospital of Shenyang Military Command of PLA,Shenyang,Liaoning 110840 |
| Abstract: | Purpose To explore the imaging characteristics of color Doppler echocardiography(CDE) on adult dextrocardia with cardiovascular malformations.Materials and Methods Thirty patients with dextrocardia with cardiovascular malformations were detected by CDE and the imaging characteristics of CDE were investigated.All cases underwent angiocardiography examination as control.26 cases were proved by surgery.Results All cases were diagnosed correctly,according to CDE imaging features.The imaging features of CDE of a... |
| Keywords: | Dextrocardia Echocardiography Ultrasonography Doppler color vascular resistance Diagnosis differential |
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