發(fā)布時間：2018-06-24 01:08

  本文選題：無頂冠狀靜脈竇綜合征 + 超聲心動圖��； 參考：《中國超聲醫(yī)學(xué)雜志》2017年07期

【摘要】：目的對比超聲與外科手術(shù)結(jié)果,回顧性分析無頂冠狀靜脈竇綜合征的超聲特點、伴發(fā)畸形和漏診誤診原因,進而提高術(shù)前診斷準(zhǔn)確率。方法回顧性分析經(jīng)手術(shù)證實無頂冠狀靜脈竇綜合征患者70例,分析其臨床資料及超聲心動圖表現(xiàn),并將術(shù)前超聲結(jié)果與手術(shù)結(jié)果相對照。結(jié)果 (1)70例無頂冠狀靜脈竇綜合征中,Ⅰa型18例,Ⅰb型9例,Ⅱa型8例,Ⅱb型10例,Ⅲa型8例,Ⅲb型17例。合并永存左上腔靜脈34例。(2)無頂冠狀靜脈竇綜合征最常合并的心內(nèi)畸形為:繼發(fā)孔房間隔缺損35例(50%),室間隔缺損13例(18.6%),房室瓣裂9例(12.8%)。(3)術(shù)前未診斷17例,其中Ⅰa型8例,Ⅰb型1例,Ⅱa型2例,Ⅱb型3例,Ⅲa型1例,Ⅲb型2例。結(jié)論超聲心動圖是診斷無頂冠狀靜脈竇綜合征病理分型、血流動力學(xué)及伴發(fā)畸形的首選方法,對伴發(fā)畸形的認(rèn)識有助于提高術(shù)前診斷準(zhǔn)確率。
[Abstract]:Objective to compare the results of ultrasound and surgery, and to analyze retrospectively the ultrasonic features, the causes of misdiagnosis and misdiagnosis in patients with anatrophic coronary sinus syndrome (CSS), and to improve the accuracy of preoperative diagnosis. Methods the clinical data and echocardiographic findings of 70 patients with no top coronary sinus syndrome proved by operation were analyzed retrospectively. The results of preoperative ultrasound were compared with those of surgery. Results (1) there were 18 cases of type 鈪，

本文編號：2059284