128层螺旋CT在复杂先天性心脏病诊断中的价值  

Value of 128-slice spiral CT in diagnosing complex congenital heart disease

作　　者：王龙胜[1] 郑穗生[1] 江安红[1] 姚文君[1] 管松[1] 

机构地区：[1]安徽医科大学第二附属医院放射科,合肥230601

出　　处：《安徽医学》2010年第8期951-954,共4页Anhui Medical Journal

基　　金：安徽省卫生厅医学科学研究计划(项目编号05A017)

摘　　要：目的评价128层螺旋CT在复杂先天性心脏病诊断中的价值。方法回顾性分析经手术证实的13例复杂先天性心脏病的128层螺旋CT心血管造影的表现,并与手术所见对照分析。结果心脏部分畸形诊断符合率80%(12/15),包括7例ASD其中2例漏诊、6例VSD、1例三尖瓣反流漏诊、1例右位心;心脏大血管连接畸形诊断符合率100%(7/7),包括肺静脉异位引流2例、主动脉骑跨4例、左侧永存上腔静脉1例;心外大血管畸形诊断符合率93%(13/14),包括动脉导管未闭4例其中1例PDA漏诊,主动脉缩窄1例、主动脉狭窄1例,肺动脉狭窄7例。结论 128层螺旋CT心血管造影对复杂先天性心脏病诊断有重要的价值。Objective To evaluate the value of 128-slice spiral CT in diagnosing complex congenital heart disease.Methods The performance of 128-slice CT angiography of complex congenital heart disease of 13 cases surgically proven were analyzed retrospectively,and comparatively analyzed with the surgical findings.Results The accuracy rate of diagnosis in heart malformation was 80%（12/15）,including 7 cases of ASD（2 cases missed）,6 cases of VSD,1 case of missed diagnosis of tricuspid regurgitation,and 1 dextrocardia,heart;the accuracy rate in diagnosing the deformities of connecting majors vessels to heart was 100%（7 /7）,including 2 cases of anomalous pulmonary venous connection,4 cases of overriding aorta,1 case of the double superior vena cava;the accuracy rate of diagnosis of malformations of great vessels outside the heart was 93%（13/14）,including 4 cases of PDA（1 case missed）,coarctation of the aorta in 1,aortic stenosis in 1 case,pulmonary stenosis in 7 cases.Conclusion 128-slice spiral CT cardiovascular angiography has an important value in diagnosing complex congenital heart disease.

关 键 词：体层摄影术 X线计算机 血管造影术 先天性心脏病 诊断 

分 类 号：R816.2[医药卫生—放射医学] R726.5[医药卫生—临床医学]