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中华医学超声杂志(电子版) ›› 2020, Vol. 17 ›› Issue (05) : 486 -490. doi: 10.3877/cma.j.issn.1672-6448.2020.05.017

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综述

超声造影在肥厚型心肌病中的应用
谢明星1,(), 张丽1, 黎梦1, 谢雨霁1   
  1. 1. 华中科技大学同济医学院附属协和医院超声影像科;分子影像湖北省重点实验室
  • 收稿日期:2020-03-02 出版日期:2020-05-01
  • 通信作者: 谢明星
  • 基金资助:
    国家自然科学基金项目(81727805,81530056)

Application of contrast-enhanced ultrasound in hypertrophic cardiomyopathy

Mingxing Xie1(), Li Zhang1, Meng Li1   

  • Received:2020-03-02 Published:2020-05-01
  • Corresponding author: Mingxing Xie
引用本文:

谢明星, 张丽, 黎梦, 谢雨霁. 超声造影在肥厚型心肌病中的应用[J]. 中华医学超声杂志(电子版), 2020, 17(05): 486-490.

Mingxing Xie, Li Zhang, Meng Li. Application of contrast-enhanced ultrasound in hypertrophic cardiomyopathy[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(05): 486-490.

图1 一例非对称性HCM患者TTE、左心声学造影及CMR图像。图a为TTE示基底段前壁、前侧壁、下侧壁、下间隔心内膜显示不清;图b为左心声学造影示基底段心内膜清晰,易于区分肌束、腱索与心肌组织;图d为TTE中间段前壁与前侧壁心内膜边界显示欠清,乳头肌与心肌区分困难;图e为左心声学造影中间段前壁清晰显示,乳头肌与心肌易于区分;图g为TTE示心尖段似可见少许肌窦,与致密心肌间边界不清;图h为左心声学造影心尖段能清晰显示心尖段的肌窦,易于区分肌窦与心肌组织;相较于TTE,左心声学造影能更清晰的显示心内膜,但对于前壁、侧壁心外膜的显示仍有不足
图2 一例心尖肥厚型心肌病患者TTE与左心造影心尖四腔心切面图像。图a为TTE示心尖段与心尖部结构显示欠清,似可见室壁增厚;图b为左心声学造影可清晰显示增厚的心尖段与心尖部室壁
图3 一例心肌致密化不全患者TTE与左心声学造影心尖四腔心图像。图a为TTE显示心尖段与心尖部左心室壁增厚,并可见较丰富的肌窦;图b为行左心声学造影后,可见心尖段室壁明显变薄,TTE所见室壁增厚实为丰富的肌窦
图4 不同类型右心室壁肥厚患者超声图像。图a为左、右心室壁均增厚,以左心室壁受累明显;图b为左、右心室壁均增厚,以右心室壁明显;图c为孤立性右心室壁肥厚(白色箭头所示为肥厚的右心室壁)
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