摘要
目的回顾我院14年来,超声对肺心病合并房间隔瘤的诊断,进行总结与探讨。方法超声采用多角度、多切面进行探查,分别对肺心病合并房间隔瘤时房间隔瘤的基底部宽度、膨出面积、膨出方向等进行观察与测量,排除先天性心脏病的房间隔缺损合并房间隔瘤,排除风湿性心脏病合并房间隔瘤,排除左心系统疾病合并房间隔瘤。结果本文超声诊断的房间隔瘤,是按照Hanleg分型标准,将房间隔瘤,分为类型,其中I类为累及卵圆窝型,类为累及整个房间隔,膨向RA侧为I型,膨向LA侧为型;本组21例均为I类,累及卵圆窝型,其中I型(膨向右房侧)6例,占29%;型(膨向左房侧)11例,占52%,还有4例为双向摆动,占19%。结论通过观察发现,肺心病合并房间隔瘤与先天发育异常、后天退行性病变、右心压力增高、肺动脉高压、左心压力增大、房间隔卵圆窝处薄弱及左右心压力阶差变化密切相关,超声对肺心病、肺气肿合并房间隔瘤的诊断,简单、可靠、准确性高,为临床提供了科学的诊断依据。
Objective To summarize and explore the sonography diagnosis of cor pulmonale concomitant with atrial septal aneurysm （ASA） Via reviewing our past 14 year practice. Methods We performed sonography to detect ASA through multi-angles and multisections, observed and measured the basal width, bulging size and direction to exclude concomitant ASA caused by congenital heart disease, rheumatic heart disease and left heart diseases. Results In this article, the ASA was classified into two classes, two types by Hanleg criteria. Class Ⅰ involved foremen ovale, Class Ⅱ involved the whole interatrial septum. Type Ⅰ meant aneurism bulgetd to RA, Type Ⅱ bulged to LA. This artiche contained 21 cases in classl in whom 6 Type Ⅰ cases, 29%; Type Ⅱ 11 cases, 52% and Oscillatory Type 4 cases, 19%. Conclusions We found through observations cor pulmonale concomitant ASA was close related to congenital abnormalities, degenerative disease, right heart pressure increase, pulmonary hypertension, left heart pressure increase, foremen ovale weakness and left and right heart pressure difference, Sonography provides a simple, reliable, accurate diagnosis of cor pulmonale and emphysema concomitant ASA and scientific diagnostic foundations for clinical practice.
出处
《中国超声诊断杂志》
2005年第11期810-812,共3页
Chinese Journal of Ultrasound Diagnosis
