MRI检查在复杂型小儿先天性心脏病诊断中的应用价值  

The Value of MRI Examination in the Diagnosis of Complex Congenital Heart Disease in Children

作　　者：杨美梅 Yang Meimei(Xiamen children's Hospital,Xiamen Fujian 361000,China)

机构地区：[1]厦门市儿童医院,福建厦门361000

出　　处：《医疗装备》2021年第8期19-20,共2页Medical Equipment

摘　　要：目的探讨MRI检查在复杂型小儿先天性心脏病诊断中的应用价值。方法选择2019年2月至2020年2月于厦门市儿童医院接受治疗的38例复杂型先天性心脏病患儿作为研究对象,均施以CT、MRI检查,以心血管造影为先天性心脏病诊断的金标准,比较两种检查方式的诊断结果。结果以心血管造影为先天性心脏病诊断的金标准,MRI检查诊断肺动脉闭锁、大动脉转位、肺静脉异位引流、法洛四联症的符合率均高于CT检查,差异有统计学意义(P<0.05);肺动脉闭锁、大动脉转位、肺静脉异位引流、法洛四联症患儿的MRI图像存在一定差异。结论MRI检查应用于复杂型小儿先天性心脏病诊断中,具有较高的诊断符合率,且可有效区分疾病类型,有利于临床诊疗工作的开展。Objective To analyze the value of MRI examination in the diagnosis of complex congenital heart disease in children.Methods 38 cases of children with complex congenital heart disease in Xiamen Children's Hospital were selected as the research objects,all of them were examined by CT and MRI.Taking cardiovascular angiography as the gold standard for the diagnosis of confidence disease,The diagnostic results of the two methods were compared.Results The total coincidence rate of MRI(97.37%)was significantly higher than that of CT(78.95%),the difference was statistically significant(P<0.05).There were some differences in MRI images of pulmonary atresia,transposition of great arteries,anomalous pulmonary venous drainage and tetralogy of Fallot.Conclusion The application of MRI in the diagnosis of complex congenital heart disease in children can effectively improve the coincidence rate of clinical diagnosis,effectively display the imaging characteristics of various complex congenital heart diseases in children,and promote the development of clinical diagnosis and treatment.

关 键 词：复杂型小儿先天性心脏病 MRI 符合率 诊断 

分 类 号：R725.4[医药卫生—儿科]