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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=1739329399-UBL1EJnooZR8tb2xZVkSNxzMJc4sAS0U-0-4601657b2f57eab11a01884b42bb7c2d)
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=1739329399-Jq8tFNWQDxN3KyBd64TzLrYVbvNR5T99-0-e9517c6672b324ba18c8fca99ad37c5f)
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=1739329399-fzqP0IjfXMLVnHSMUqyEa4NPyoN7h7uW-0-90b3a8e13adb94462bc88e2b449f78e6)
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=1739329399-Xm5Nm09JtXR6SkVYMTLOzKOqdZR1FCzJ-0-fdcd3f80dbbab63c708bb1ce3bdee40e)
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=1739329399-GMuixerbnrwIkpXXkg7MT1d7cPTJLMpk-0-23307a7ca194d1ec455a19547b53bf0a)
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=1739329399-VhLE7a6LIcWQKWWx4z2vpRuWDmdVzGna-0-ec4ffa7afcd6feb42f0f6045b3c45b3a)
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=1739329399-9XoI71yYvp7LL89D82JcSrb3Y3R5w0np-0-0ba861c93c6d05c21425bb4264c6b9b1)
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=1739329399-XV7QXTGTNqhzgXWaRlWEEsk9VIf3FBGQ-0-93d354aed5c9e56dadbd344e886d4847)
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=1739329399-Ha2MAT0AuV48Kb7EgdhyEKpVDZkRcclU-0-2f9449c49e71c75a54dc19d2ed629c0e)
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=1739329399-zJVhiPipZteZ6YUCRbWIqvU7rBSwegpu-0-458bc5c86e751e5d8dccf07ce54b200d)
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=1739329399-iORA8TREl9VnansnwdAlwdsuIJwZrkMf-0-0b62e1145be0e2acc62db3a7e423a65b)
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=1739329399-BaakjziwDQcpfu7zWZvnCqKTO7VslaJs-0-74c7c001e4ce849c66cd9bd6c4292c10)
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=1739329399-mxMZiAx91utZXjwByfwPhqkRv06nhsfS-0-483a4e4d285b5108505f5dadb344f3bf)
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=1739329399-RmFk0ZHnkt9jXeq4MWROxIW4XpzwsnIC-0-f8a2ddbfdd3f4d6fdf3ec092170cb72b)
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=1739329399-2jsdt9dljbCLXKNdseDALOWXKlfEPm6S-0-0c277b2f937d02fa161117859c762219)
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=1739329399-XBou7PybBc9xFpSZij0FJ2Avr9Yl4ckf-0-e449e5a95345697c6986c6206a276bd3)
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=1739329399-QbknyutQzIbuw0v7CtIH3iGDrSQ8K0JJ-0-cc3bb026f74be9ae6afbd9f2b4999d2d)
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=1739329399-HPnvOqWRIWAjYE2Brf7mG4AbLf8LKnp2-0-e258cadb9bb621f42bd2cc7c8806fa06)
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=1739329399-4XfSrj2dDwaKZEbVa0CKXjBjqXsVZjNx-0-7460dc6a689360f1407567d3516d2b27)
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=1739329399-0t9EGKLFbl3j88Rr1FbRmQ9CKtcBX7Z2-0-f8089e6f7ddfd79de89f336ea2901915)
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=1739329399-p6Ad4EdUmjVka9IzXXktFACVHgdMv1cq-0-5c8dbfa6bfb02e8579a76ce5f3ab7de8)
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=1739329399-tpydSYkSMfCKnTnuqH7bjolskohOXxSc-0-6fe53f306bab3b5b19fa73dc1a1ef97a)
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=1739329399-gsO6j7aubY2JD1XKqwx29j0JqIsvI6li-0-709796d30b6eec1270d6870866e97ab9)
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=1739329399-b9v3HocRU1d6zoAuyE5s7TionmGpqyOZ-0-77f0bfadfd7ffbf508e40e909fc81554)
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=1739329399-E1vxUOg0ETjHHad5b8gZMTGhq2GFjUwt-0-5252ee625a2f8b832a8d2864289a58bf)
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