心血管造影对先天性心脏病分层诊断的价值分析  

Value of angiocardiography in the stratification diagnosis of congenital heart disease

作　　者：江荣[1] 赵胜[1] 汪泽龙[1] 汪俭[1] 余东[1] 

机构地区：[1]安徽省立儿童医院心内科,合肥230051

出　　处：《中国实用儿科杂志》2009年第2期122-125,共4页Chinese Journal of Practical Pediatrics

摘　　要：目的分析心血管造影(ACG)对不同类型先天性心脏病(CHD)分层诊断的临床意义。方法2006年2月至2008年5月安徽省立儿童医院心内科收治的经临床、X线胸片、心电图(EKG)、超声心动图(ECHO)检查证实的各种CHD患儿34例,对比分析其ACG及ECHO检查结果。结果经手术证实的21例患儿中,ECHO及ACG与手术证实的完全符合率分别为71.43%(15/21)和100%(21/21),经χ2检验,P<0.01。结论ACG能满足不同类型CHD诊断和治疗的需求,且明显优于ECHO,具有不可替代的分层诊断的临床价值。Objective To evaluate the value of angiocadiography （ACG） in the diagnosis and treatment of complicated and/or complex congenital heart disease （CHD）. Methods Analyze 34 cases of ACG for complicated and/or complex CHD, and compare with the results obtained hy means of echocardiography （Echo）. Results The accordance rate by means of Echo and angiocardiography with cardiovascular operation was 71.43% （ 15/21 ） and 100% （21/21） respectively. After X^2 examination, P 〈0.01. Conclusion In the field of diagnosis and differential diagnosis of knotty eases of complex and complicated CHD, the resuh of ACG （including DSA） is superior to Echo, and ACG examination before operation is important and indispensable.

关 键 词：心血管畸形 心脏缺损 超声心动图 心血管造影术 

分 类 号：R72[医药卫生—儿科]