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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=1739343673-LQFbzYuiWzKH5CK07kbXrWswvNwe2E1N-0-1b6310a776f2ef02aa13a4d425751bab)
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=1739343673-rnGWzynW3J2KFMKZ0MAT60y7wglXIQG1-0-3631a0adc08d7034fa4077467eb23cd7)
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=1739343673-zJP6PPFCbDMxQmT6Z3YXHVvuqiyqyqjO-0-7c6a5467bc70c82d4a6c79f5aa062158)
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=1739343673-nqRFczmZgeOsguRNkiEk6p44xQNap04n-0-dcb4b586ef8463b10823c0d84a15e6c4)
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=1739343673-bIqBR7NmhicbyLh40PezBVNFNmpRCG8A-0-7c08eb2dce3feb8979cbd6568b76aae1)
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=1739343673-GWrAddVAZg7BSRErqUj6OJgcF99LFMQ6-0-19be7a02bc5ed236e676c87b50cd33c7)
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=1739343673-50KErV8M1MAfsl9ys5XKqmcnwjjP7Jl2-0-a62f012f13c893418e6bfcf7e5aa8fbf)
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=1739343673-kY7iGXLcYworscX8OhNmRJhbrqap093K-0-ea6b07f0d385c4d00d0abbf6c26e27fd)
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=1739343673-QFFsEsAgKtWor0QrzgbaBk9KbOKthz2R-0-fff6d60323425cdba7f958460e65a772)
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=1739343673-F47S4UfwRlFX24a3YzAeMMTN2gCFQJR1-0-554c7d4a46acf9d84a7f561df7d9a002)
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=1739343673-Bm6kaEHyS2sZr88UB22l2Szq8JLNECbV-0-a7db0df7dcd4156e0bb3a965eb254bcd)
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=1739343673-d0kvLUbZZkQUIMMKW5E8ET6pkMahnDNe-0-6fe53dd582fbcdcd8383d7eda03a4a0b)
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=1739343673-M6PQzHeyHFIxDoRtRBYgoN1S0RAHGFGb-0-439631ca5de010f196b70b6a278d39a9)
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=1739343673-IUTVEEbG0liSpX4ro0ezanPKS0ND4D57-0-e24c3d4ec4caf8350383496b67aecc39)
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=1739343673-IpEsHrLeKCfh6yUd1bzdlNJvptfOAgu5-0-b242a8a88fc4ffffd2da3160c325c799)
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=1739343673-3qa34UDdEd0g75XZX9MEzUUYxcwMZoDr-0-e4c8a50b296fcd9c326d656a495fec6e)
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=1739343673-VeyrumDGX5qf9xPPKuQ6AzOBLLn9qRQU-0-2f9e788d7b9c95679e21d3e26690c0da)
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=1739343673-aHKcrRUpuWuC1xrci7w9h3opItXEiFkr-0-748f4cd5870241b87d53c72252260920)
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=1739343673-LFgDeoqMNt3JgDQz50ryFMwtKogbmISO-0-b014c36fe4252cb86227c717bb94ef02)
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=1739343673-KgZWx44nUzQ0AeGvJeykHuc6t2WztJFw-0-730fea50328fa8423706a7019c716f58)
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=1739343673-vBqdIiVjrkQY5CmTrglB1AhpBETbH4Sj-0-709b1a3fbbb2a9eacb983bd98785e5e2)
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=1739343673-x14QZFplnKjzXysQqVpDiiNpHmkpeagN-0-24d92b83c468c336b8b08730de33e862)
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=1739343673-UXjar5kdWQIIilSOJXDKIFwyT4yQv996-0-2e524d3a03921509739bfe202b7b3054)
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=1739343673-k9RAkakAUQJX7giPHNRkW7NGUDmBBq8b-0-6565d4efda8702810f454dba59dd3ac7)
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=1739343673-sMVNeqyN6nsQ68VvEOWdyu3DiQjbNA98-0-df93de1a67ada20021f5db1e2cb64e7b)
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