摘要
目的 :分析 10例无顶冠状静脉窦综合征 (UCSS)畸形的超声表现 ,以提高超声诊断准确率。资料与方法 :回顾性分析 1986～ 1998年经手术证实的 10例UCSS的超声资料。结果 :10例UCSS中完全型 7例 ;终末部分型 2例。中央部分型 1例 ;二维超声心动图 ( 2DE)和声学造影表现为CS扩大 4例 ,永存左上腔静脉 (PLSVC)直接进入LA 2例。其它合并先天性畸形超声表现各异 ,超声结果与手术基本一致。结论 :当 2DE和超声造影表现为PLSVC直接回流入LA ,无正常CS回声或CS间隔连续不完整应诊断为UCSS。超声造影对该病诊断具有重要意义。
Purpose:To analyse echocardiographic features of ten patients with unroofed coronary sinus syndrome and to improve the accuracy of ultrasonic diagnosis. Materials and Methods:Echocardiographic data of ten cases with unroofed coronary sinus syndrome proved by operation from 1986 to 1998 were studied retrospectively. Results: seven patients had the completely unroofed coronary sinus, two patients had partially unroofed terminal portion of the coronary sinus (CS) and another patient had partially unroofed mid-portion of CS. Two dimensional (2DE) and contrast Echocardiography detected dilatation of CS in 4 patients and PLSVC into LA in 2 patients. 2DE also displayed various acompanying abnormalities. The results of ultrasound were essentially consistent with the finding of operations. Conclusion:It could be considered as unroofed CS when 2DE and contrast echocardiography show PLSVC draining to LA and absence of CS or septal defect of CS. Contrast echocardiography is of important meaning for diagnosing unroofed CS.
出处
《中国医学影像学杂志》
CSCD
2000年第4期291-292,共2页
Chinese Journal of Medical Imaging
关键词
无顶冠状静脉窦综合征
二维超声心动图
诊断
unroofed coronary sinus
two-dimensional echocardiography
contrast echocardiography
