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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=1734389411-nlHcbsIzlU90pTZojSoJ7oWEmEMSKyOn-0-c59adf03bc6ab0ffb8a1201adf1c72ba)
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=1734389411-5pth2qpvoITmaTJ2SuxlQT04wx4HtEhC-0-f8a09dbf543720c2842e4a764c74abaa)
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=1734389411-Eb9GpYtITc0sMuvrvAlj6dbqNXZBjrHp-0-feb2521b1ea346ebf56912585918bf71)
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=1734389411-BvYXopEvFzae1ifIqaPtiuvUMXDNfROy-0-95baa96c817b1905e4cf3512ccfaf1c1)
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=1734389411-eefE1yLGsLfHFCYWHdqsowBxCSsWdVfO-0-4df4325f7418136a1c033c8dd71921b3)
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=1734389411-JrJJe9Y2BsvikAfbJJdIJypr0tpQ17ag-0-501c77fc86b961c0eff81fa38acea762)
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=1734389411-3pFem39n1vA2C7gefL8TwR2r1L1Wf5Xw-0-d3b49ecf1e0b50fd74222ac877ae42ed)
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=1734389411-461qcor33xz7lH9nb2gApLOPjBog16WZ-0-8fc7054025cc2d57f08048227c640e43)
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=1734389411-UFxEZ4wOIgc2SGZMZhJe9pdzr0dcRQYR-0-aa603fb60a8c4e035179189cdc4e5889)
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=1734389411-V1SNv76OZSUQmFQ5TeW9So9x819qltJ5-0-a7dda3a164703a8afad0110afe709887)
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=1734389411-tFsOiesUyedPkff7oIRqSskzTE3aZC7V-0-af127e9f3f5c760abe5b8c6955b1edb0)
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=1734389411-1BxB2gmyEDAitb4y33SuaeDtS9GQ4u0c-0-469578627ffd2be55e9aa2cc03d87f3d)
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=1734389411-NKj4wBMffDlkw8RHebn3f24tzcA4KWWD-0-034014e217495729aeb49ffb1d454200)
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=1734389411-3FFGkX8IECfCRUpmBpwMKgFmIeHZOyn6-0-06b9b397ae5dabfdcc8e278f8f06dfe8)
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=1734389411-tRRixTyfKq0GBJK2H2YRGMCtAWzpQzx1-0-b110bbae408f90cdd9aa8ac0aa7566e5)
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=1734389411-izzXvEKSLzZE37oalIC7b7pwSlkQDm8a-0-1bd4723807d0d31a510f25a7ad1e97dd)
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=1734389411-lhlcU60GMkr3rC8AzRxzZB28KHU9cnmW-0-6d2020e856d5eb0a5d72bbc51f7eedc5)
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=1734389411-tsz2ZtqqU9en1sULQ3c1DVagw4WYJ3WT-0-5c1f15900d8e2c867bbbf407774425ef)
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=1734389411-h7MkGyEheD4THiTCJLgmz8CBQR9FYrOJ-0-7429f8a421dbda7ed73cfb9e823f8369)
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=1734389411-E7GSs0DySgifs0FCOXDtaL5WYW2wCECB-0-5bd91ae019f15befce8ab34aeef7a203)
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=1734389411-mOnaBHz7FMZMSDZxp7L1kxCvME1CbS1a-0-b684baa99c78dbb61c42f3389f3d1ca7)
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=1734389411-k1MtmeNltf3mxkc2IDM1XapUyLAdKCpC-0-dbdd34187b59f988a95e7b425d229542)
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=1734389411-GNd2ceRIOYvvrayVSAWHNNN7XDnKr41f-0-19848bf79791ac95d2d64a567b7c5a96)
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=1734389411-9QGPtm3GINDpwwKCrXDJ1H4J2pU7Cuhy-0-ae8ae7841de60594b8f96dad6bcea21d)
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=1734389411-bY3kjGtSGGPFCWhC9ovQEIeP3KtLFr6W-0-fdda4b456500ef4657c5e35a20f3dccd)
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