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目的 研究总结连接于右上腔静脉的完全性肺静脉畸形连接 (RSVC TAPVC)X线平片的征象及其价值 ,以及畸形连接肺静脉的变异及对手术的影响。方法 回顾性研究 1982～ 1998年收治并经手术证实的RSVC TAPVC 11例。逐个分析其X线平片征象并与心血管造影及手术结果对照 ,找出其征象形成的病理基础 ,以及肺静脉畸形连接的变异情况及其对手术的影响。结果 X线平片呈“右半头雪人征”者 6例 ,4例有右上纵隔旁增宽引流静脉影 ;引流静脉或肺静脉狭窄者 6例 ;右肺静脉汇合成 1支、2支或 3支引入引流静脉 (或称连接静脉 )者分别为 2、4及 3例。11例手术中死亡 3例 ,2例与右肺静脉连接变异有关。结论 X线平片对RSVC TAPVC的诊断有一定价值 ,大多数病例可作诊断。右肺静脉与引流静脉连接变异较多且对手术成功与否有直接影响
Objective To summarize the value and value of plain radiocephalic pulmonary venous connection (RSVC TAPVC) radiographs connected to the superior superior vena cava and the effects of abnormalities on the pulmonary veins. Methods Retrospective study of 11 cases of RSVC TAPVC admitted from 1982 to 1998 and confirmed by surgery. One by one analysis of the X-ray film signs and cardiovascular angiography and surgical results, find out the pathological basis for the formation of signs, as well as the variation of pulmonary venous anomalies and its impact on the operation. Results X-ray showed “right half of the snowman sign” in 6 cases, 4 cases of right upper mediastinum widening and drainage of venous shadow; drainage or pulmonary vein stenosis in 6 cases; right pulmonary vein confluence into 1, 2 or 3 Introduced into the drainage vein (or connected vein) were 2, 4 and 3 cases. Eleven patients died of surgery in 3 cases, 2 cases of right pulmonary vein connection variation. Conclusion X-ray film has some value in the diagnosis of RSVC TAPVC, most cases can be diagnosed. There is more variation in the connection between the right pulmonary vein and the drainage vein and has a direct impact on the success of the operation