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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=1738844520-eacvoBt9T2ajfnmVbCoYrIy9Xk3oST0B-0-306f8da833cde1b8e3dca0c9083efcae)
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=1738844520-6OZzfZJM44AiMsH8wfCK5bwcsZxmVUjX-0-206fefc20c5a5c63922e1a824dce4b95)
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=1738844520-AqT64rRJujCJu6e1RHZz2vxoDqIeh049-0-e9e8c00697a0981c3bbee65b52043f0d)
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=1738844520-St7izVkxyK4j1bNnBbcz2QyKDXhhI59J-0-ef0e441a4706e48778980905aefa7220)
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=1738844520-50qpTp4aHzGuPEGKPHRs99XUJV7KQ731-0-abd361d3e7d63eadd7c62b5d8d9a0dd2)
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=1738844520-0xVVU5YxbrOMgKrSb19Usy3wHoMtiaKt-0-c7457a840ff76869c7c4176fdd14c8f3)
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=1738844520-EwaMilcdKKzUp4RP8hCXGQ6VHwUkT0Aw-0-8e18f4985a65696ce3ad7db39297d8e1)
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=1738844520-kf4mzcnMZ6Q8QpoySdgV0VT6zrj0zOqE-0-02ff6747b28d4520e86dd078f74ed0ef)
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=1738844520-bNVlV3ZPYN1EPw8pxb9UlyS5Jaa4zroA-0-22fcb1591b1e319de6915211e4b5ad06)
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=1738844520-XToqZxqk3ygLlVajccrs5xOSi4PbEvzt-0-d70f7edda3195cae32c7b6f1375b6d6f)
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=1738844520-njTwYtZDsU8lURkO4YaLLBpPgHtddHxv-0-c2697a94f4d1527ffcaa46883c8ed25a)
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=1738844520-2RFuR5nfblkaMrpxPVa9AXzOsMFkDaBb-0-f871c3e6b18a4e073432a0e89c6aaa13)
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=1738844520-Nj8i96doKGmeo8kCnSEBuYDHUNzLuENQ-0-f406fd9740b849b5c50407f3afb7c518)
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=1738844520-oV0IRTdwTluJWAlg1v6VA1m7uVFPWTeI-0-c75035b386e76bcb3558aa90c60b304d)
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=1738844520-nDvhbZIAlFRY9VfZf1OwkqBrpGByfh2d-0-487c8c8a9b5dd6b0c6e53022e327fc74)
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=1738844520-s04LQJ5uPHJCvDh6TNhtkbHU8FqIxj9k-0-ef36a617148101b326b6696c5531e48d)
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=1738844520-LhUzCWuVlhYSxyiMn3HS6tv0ir2RYxB9-0-31a3ed1aae1ec5c4f78ac9dbb1c846ff)
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=1738844520-CmlRkUTg4jF0agrKpOyXyjvZ52ZT50YF-0-ea9d75e2703990de2cae7ec2156968ca)
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=1738844520-fUuwLWuwovGAbzk5lZGY32WDF3ZLfhmt-0-aa923eaaa6350b73d9f188774de76f68)
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=1738844520-gxeZmlKVwcujgencqdySVrQkR9eLtvnY-0-f9e561002a9dead132d15a9446f5eaf3)
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=1738844520-YBtSy5oBbbLOwGXiTllEFaOyVE0zufYi-0-6704fbdf0899a8c323379adbaa6dc74a)
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=1738844520-aJKm4ewKI5Soz23m0U0JjTiZFHonYd63-0-ae1e0a0e9faef4570bac87ecbd5331f0)
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=1738844520-SfJmecKGzUuel514LL3PFhjjn8zkAApQ-0-a0fb8725398a0b0921c1696d6f7008f4)
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=1738844520-gW1zDI6kaJxTKEfdkvFlkj5FtP1PHOSr-0-37d9d84e94e833b6912721a044c1c5b1)
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=1738844520-tNzkaYYDwSdjHFaYaHzckGwABZ8eTtrl-0-2b4e2c2e36289c7266da3a69d2157dd6)
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