摘要
目的 探讨多层螺旋CT(MSCT)在诊断先天性肺静脉异位引流的临床价值。方法 2 0 0 1年 10月至2 0 0 2年 10月采用多层螺旋CT诊断 16例怀疑先天性肺静脉异位引流的患儿 ,平均年龄 5 94岁 (1个月至 13岁 ) ,所有病例CT血管造影资料采用表面遮盖显示等技术进行三维重建。以外科手术的结果为标准 ,与彩色多普勒超声心动图检查及心导管及心血管造影检查进行对比研究。结果 16例病例中完全性肺静脉异位引流 5例 (其中心内型 3例 ,心上型及心下型各 1例 ) ,部分肺静脉异位引流 11例。多层螺旋CT诊断符合率 10 0 % (16 /16 ) ;心血管造影诊断符合率为87 5 % (14 /16 ) ;超声心动图的诊断符合率 75 % (12 /16 )。多层螺旋CT对心内合并畸形房间隔缺损 ,有 6例未能清楚显示 ,而心血管造影及超声心动图均能明确诊断。结论 多层螺旋CT诊断先天性肺静脉异位引流是准确及可行的 。
Objectives To evaluate the clinical diagnosis value of multislice spiral computed tomography(MSCT) for congenital anomalous pulmonary venous connection. Methods From Oct 2001 to Dec 2002, MSCT was performed in 16 patients who were suspected congenital anomalous pulmonary venous connection. The mean age was 5 94 years (range 1 month to 13 years). All data were produced with the 3D reconstruction algorithm of shaded surface display. The results were compared with echocardiography and angiography. Results In 16 patients, total and part anomalous pulmonary venous connection was 5 and 11 cases. The diagnosis correct ratio was 100% by MSCT, 87 5% by angiography and 75% by echocardiography. For the intracardiac anomalies, 6 patients with ASD couldnt be diagnosed by MSCT, but all could be diplayed by echocardiography and angiography. Conclusions MSCT is an accurate and additional diagnosis tool and may be an alternative method to angiography used in the infants and children with congenital anomalous pulmonary venous connection.
出处
《岭南心血管病杂志》
2003年第3期168-170,共3页
South China Journal of Cardiovascular Diseases
