128层螺旋CT对小儿肺静脉异位引流的诊断价值  

Diagnostic Value of 128-Slice CT Angiography in Patients with Anomalous Pulmonary Venous Connection

作　　者：田忠甫[1] 付明翠[1] 王瑞珠[1] 姜辉[1] 郑晓波[1] 席艳丽[1] 唐文伟[1] 

机构地区：[1]南京医科大学附属南京儿童医院放射科,210008

出　　处：《临床放射学杂志》2015年第11期1808-1811,共4页Journal of Clinical Radiology

摘　　要：目的探讨128层螺旋CT血管造影(MSCTA)在诊断肺静脉异位引流(APVC)中的临床应用价值。方法回顾性分析21例APVC患者的MSCTA资料,常规行多平面重组(MPR)、最大强度投影(MIP)和容积再现(VR)等后处理。结果 21例中完全性APVC 11例,其中心上型5例,心内型4例,心下型2例;部分性APVC 10例。MSCTA诊断与手术结果一致。结论 MSCT及三维重组对APVC诊断准确性高,是一种可靠的无创检查方法。Objective To study the application value of 128-slice spiral CT angiography （MSCT） in the diagnosis of anomalous pulmonary venous connection （APVC）. Methods The MSCT materials with post-processed techniques inclu- ding multiplanar reformation （MPR） , thin slice maximum intensity projection （MIP） and volume rendering （VR） of 21 patients were retrospectively analyzed. Results Out of all patients, 11 cases were total anomalous pulmonary venous connections including 5 cases supracardia type, 4 cases cardiac type, 2 cases infraeacdia type. 10 cases were partial anomalous pulmonary venous drainage. The diagnosis of APVC with MSCT was the same with surgery. Conclusion MSCT is a good noninvasive diagnostic tool in preoperative evaluation and selecting operative modalities for APVC.

关 键 词：肺静脉异位引流 体层摄影术 X线计算机 

分 类 号：R725.4[医药卫生—儿科] R816.92[医药卫生—临床医学]