摘要
目的评价超声心动图对永存第五对主动脉弓(PFAA)的诊断符合率。资料与方法回顾性分析2012年1月—2016年12月在重庆医科大学附属儿童医院确诊为PFAA的8例患儿,以CT血管成像(CTA)诊断结果及手术结果为"金标准",以Weinberg分型法对其进行临床分型,收集临床资料,对比分析、总结超声心动图及CTA图像特征。结果①8例患儿均行CTA检查,CTA可清晰显示PFAA的起源、走行等解剖空间结构。②4例行全身麻醉下体外循环PFAA开胸矫治术后痊愈出院。③按照Weinberg分型,A型2例,B型5例,C型1例。④超声心动图首诊5例PFAA(A型1例,B型4例),诊断符合率为62.5%。结论超声心动图对PFAA有较高的诊断符合率,有助于早期检出,值得临床推广。
Purpose To explore the value of echocardiography and CT angiography（CTA） in diagnosing persistent fifth aortic arch（PFAA）. Materials and Methods Eight children clearly diagnosed as PFAA in Children＇s Hospital of Chongqing Medical University from Jan. 2012 to Dec. 2016 were retrospectively analyzed. Clinical data were collected, and the features of echocardiography and CTA images were compared and summarized, which were then compared with the surgical results. Results①Eight cases received CTA, CTA could clearly reveal anatomical spatial structure of PFAA such as its origin and courses.②Four cases were fully recovered and discharged from hospital after receiving extracorporeal circulation PFAA sternotomy under general anesthesia.③ According to Weinberg classification, 2 cases were classified as type A, 5 cases type B, and 1 case type C.④5 cases of PFAA were firstly diagnosed via echocardiography（1 case of type A and 4 cases of type B）, the diagnose accordance rate with the results of CTA and/or surgery was Conclusion Echocardiography and CTA can effectively diagnose PFAA, help early detection and improve prognosis.
作者
杨海燕
计晓娟
朱旭
薛艳
金鑫
向雪
YANG Haiyan;JI Xiaojuan;ZHU Xu;XUE Yan;JIN Xin;XIANG Xue(Department of Cardiology,Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Chil;Development and Disorders,China International Science and Technology Cooperation Base of Chil;Development and Critical Disorders,Chongqing Key Laboratory of Child Infection and Immunity,Chongqing 400014,Chin)
出处
《中国医学影像学杂志》
CSCD
北大核心
2018年第3期180-183,190,共5页
Chinese Journal of Medical Imaging
基金
国家自然科学基金(81301300)
重庆市科委社会事业与民生保障科技创新专项(cstc2016shmszx130009)
