- 心血管影像解剖图谱
- 马小静 何亚峰 陈鑫主编
- 986字
- 2020-08-28 21:58:13
形态学右心房成像
形态学右心房超声心动图
超声心动图可以显示形态学右心房的解剖构成包括:腔静脉窦、前庭、间隔和右心耳,可以在不同切面分别显示上、下腔静脉和冠状静脉窦入口和血流状态、下腔静脉瓣的发育情况以及三尖瓣的解剖和功能,能够准确评估右心房的内径、容积及功能。探查下腔静脉汇入的心房为右心房可明确心房位置(图3-2-1-1~3-2-1-5)。
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-1-1_967.jpg?sign=1734381725-FGQFvtpi7gStjMP1Yem3CasU4kLpgV7S-0-6113da4e947e28a03a988a9e9715f62f)
图3-2-1-1 心尖四腔心切面显示右心房、左心房、右心室及左心室
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-1-2_970.jpg?sign=1734381725-ma7ukHM8F9FRX0BovGyuPKfI9sSwKylY-0-4cbb01670598a0e16d5c4197ac2e7b4b)
图3-2-1-2 胸骨旁主动脉短轴切面显示右心房、左心房、房间隔、三尖瓣叶及右室流出道
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-1-3_973.jpg?sign=1734381725-dwIOlEzn6M2wVGw9kmw8krHuI8QkXo3n-0-d6f2453a2ec566a8366aaa8a365d68d9)
图3-2-1-3 胸骨旁右室流入道切面显示右心室、右心房(包括冠状静脉窦及冠状静脉窦瓣)
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-1-4_976.jpg?sign=1734381725-029MBIjGRvBw7kyOhtEpggeO1pNCZd7z-0-5f7a47d5b85f69bb8d5272ad15e42ef9)
图3-2-1-4 剑突下四腔心切面显示右心房、左心房、右心室及左心室
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-1-5_979.jpg?sign=1734381725-0QRhslFhTSjRn4byT5KeHSmyDyj8LdaL-0-2f1c637908bfce5a37e071ceb96d11c1)
图3-2-1-5 剑突下两腔心切面显示左心房,右心房,上、下腔静脉入右心房开口,下腔静脉瓣
形态学右心房CT成像
在CT成像中对于下腔静脉瓣、冠状窦瓣等细小结构的显示不如超声,但是在显示上、下腔静脉及冠状静脉窦口的空间位置关系方面优于超声(图3-2-2-1~3-2-2-20)。
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-1_991.jpg?sign=1734381725-Ms3oXwp4z244x2dF5C2GYSh1n6Bus2UP-0-16819cc29a2dc5b5cfcb2c0030d72da2)
图3-2-2-1 横断位:上腔静脉入右心房层面
①右心耳;②界嵴;③上腔静脉
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-2_994.jpg?sign=1734381725-xqlKnoU8vfJ1wN0IwIDpS983OoBMPFsX-0-e313e81f920cdbfcb3377d3e2b5090cd)
图3-2-2-2 横断位:右心房体部层面
①界嵴;②右心房体部;③三尖瓣口
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-3_1002.jpg?sign=1734381725-jDCok2K5qZ58L6E10kCp4BF5jgFHfN9D-0-5fc4e759aecc26609d70a918cab70458)
图3-2-2-3 横断位:冠状静脉窦汇入右心房层面
①梳状肌;②右心房体部;③下腔静脉;④三尖瓣口;⑤冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-4_1005.jpg?sign=1734381725-kF57XOAkgfTtXuI8b0rp9Sc3okAsfUAw-0-6caabf7c7792a8e361393d306f063550)
图3-2-2-4 冠状位
①右房耳;②右心房体部;③三尖瓣口;④右心室
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-5_1008.jpg?sign=1734381725-3f8aBxOWtH36GbxpUYkuT3d3fb7KGCjC-0-38dadc5a67102dfefd1cd9b42f81b0e9)
图3-2-2-5 冠状位
①上腔静脉;②右心房体部
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-6_1016.jpg?sign=1734381725-gk2nBzKG4wi6PruVFvqLw1GjAX5kWVqm-0-5dbca1a18bd953d98cdd2a2536a3535d)
图3-2-2-6 冠状位
①上腔静脉;②右心房体部;③下腔静脉;④冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-7_1019.jpg?sign=1734381725-ys6EtNjbSKxbFrPjVMzy9DhP3CFkSmyt-0-fc51059644a56e1a9138a95d35c2bc66)
图3-2-2-7 矢状位
①右房耳;②右心房体部;③上腔静脉;④下腔静脉
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-8_1022.jpg?sign=1734381725-FGIwFlxpEMxh8OBuw9897i5EsQHTwNfc-0-39248fdc7923c52c12e1566e41fdc856)
图3-2-2-8 矢状位
①右房耳;②右心房体部;③三尖瓣口;④左心房
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-9_1035.jpg?sign=1734381725-he2JtEDE1M8jVHldVpwGQgAvVcyoTodY-0-c9ebb350f2e6c06fd57cb4972389adf3)
图3-2-2-9 矢状位
①右心室;②三尖瓣口;③右心房;④冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-10_1031.jpg?sign=1734381725-MPvh0BSYPpvpUr7G0xJnsEN31o0aOSjX-0-249b0e24a5400d4b18224b8364e3d83c)
图3-2-2-10 垂直于室间隔的心脏长轴位
①右心房;②三尖瓣口;③冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-11_1034.jpg?sign=1734381725-I9BZxTWrIKewHq8sEyw6CvTsQSIBK7DO-0-005981b75516d08c9563b67cbf1ee5ce)
图3-2-2-11 垂直于室间隔的心脏长轴位
①右心房体部;②三尖瓣口
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-12_1041.jpg?sign=1734381725-POZtVbq481HHSCczoq4skVYAY9lQz8i5-0-584b545b1ac59bba622632d4b0e00da4)
图3-2-2-12 垂直于室间隔的心脏长轴位
①上腔静脉;②界嵴;③右房耳
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-13_1044.jpg?sign=1734381725-YAa9EqAAfBT1lgClnSl563LeHWVw6tRF-0-4fe91fba3aa32295030ae1e9bdd878e9)
图3-2-2-13 心脏短轴位
①界嵴;②右心房体部
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-14_1047.jpg?sign=1734381725-PQXLeHbLZAKBUiaw4zottEMxScYNlL5M-0-9489946f63dd0c9beb2c0a22a3f771e3)
图3-2-2-14 心脏短轴位
①右房耳;②右心房体部;③下腔静脉
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-15_1055.jpg?sign=1734381725-WriiEAYmmHVmFmpA9C4SAGwKadQgcVGY-0-6b63289a257780971455412dca3ced53)
图3-2-2-15 心脏短轴位
①梳状肌;②右心房体部;③冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-16_1058.jpg?sign=1734381725-Ij3rGnOvJeck1hzJY8K81doKpBjAmehf-0-d8bb451b8385e6f580305e0e2b904c8e)
图3-2-2-16 垂直于室间隔的心脏长轴位
①右房耳;②右心房体部;③界嵴;④三尖瓣口
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-17_1061.jpg?sign=1734381725-JVmSDF9LrfhAVC2ynn2EyyFL0Fbswt5a-0-62c625132d7f9d9216c66c619f8d887d)
图3-2-2-17 垂直于室间隔的心脏长轴位
①上腔静脉;②右心房体部;③三尖瓣口
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-18_1076.jpg?sign=1734381725-K3PxxVuVBWmwf19cjImgWzHd4GbD95Z8-0-2e18d1c946ff3ddf31d0c0137399a367)
图3-2-2-18 垂直于室间隔的心脏长轴位
①上腔静脉;②三尖瓣口;③下腔静脉;④右心房体部
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-19_1069.jpg?sign=1734381725-Vq2n5EOjMIcyPlSutvUxdgZqDiVwRH7g-0-1e3b532078ab5c4cd74b7d8a2f3ee231)
图3-2-2-19 VR图:冠状位
①右房耳;②上腔静脉;③三尖瓣口;④冠状静脉窦
![](https://epubservercos.yuewen.com/F4E5EB/14624592504705806/epubprivate/OEBPS/Images/P3-2-2-20_1072.jpg?sign=1734381725-omL87Rv0Z4Olah37JX2GewixC3fEYH5s-0-6b88d3c637928f81fd889d2c228524d4)
图3-2-2-20 VR图:矢状位
①上腔静脉;②下腔静脉;③右房耳;④三尖瓣口;⑤冠状静脉窦