摘要
目的 分析和评价X线平片及血管造影在诊断先天性冠状动脉瘘中的临床价值 ,并探讨该病的发生规律。方法 43例经手术证实的先天性冠状动脉瘘 ,均摄有X线平片并经血管造影诊断 ,其中男 16例 ,女 2 7例 ,平均年龄 15岁。结果 43例中 ,X线平片明确诊断 5例 ,血管造影对所有病例均作出正确诊断。其中右冠状动脉瘘 2 8例 (6 5 % ) ,左冠状动脉瘘 14例 (32 .6 % ) ,多发左右冠状动脉瘘 1例 (2 .4% ) ;发生右室瘘 18例 (4 2 % ) ,右房瘘 15例 (35 % ) ,左室瘘 5例 (12 % ) ,肺动脉瘘 4例(9% ) ,左房瘘 1例 (2 % )。结论 X线平片在诊断冠状动脉瘘中有一定的限度 ,但如发现心脏异常搏动膨突影 ,有较高的价值。血管造影仍是此病诊断的金标准。
Objective To evaluate the clinical value of radiography and angiography in diagnosing congenital coronary fistula and find out its radiological and morphological characteristics. Methods The radiographic and angiographic findings of 43 cases (16 male, 27 female) with congenital coronary fistula were analyzed retrospectively. Results Correct diagnoses were obtained in 5 cases by plain radiography and in all cases by angiography. In the 43 cases, there were 28(65%) fistulas originating from the right, 14(32.6%) from the left and 1(2.4%) from both coronary arteries, and there were 18(42%) fistulae draining into right ventricle, 15(35%) into right atrium, 5(12%) into left ventricle, 4(9%) into pulmonary artery, and 1(2%) into left atrium. Conclusion The value of plain radiography in diagnosing congenital coronary fistula was limited and angiography was still the gold standard despite other new developed medical imaging methods.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2001年第2期129-131,共3页
Chinese Journal of Radiology
