320排CTA联合TTE对复杂型先天性心脏病的诊疗分析  

Analysis of the Diagnosis and Treatment of Complicated Congenital Heart Disease with 320-Slice CT Combined with TTE

作　　者：高海超[1] 李舒承[1] 孔凡强[1] 李东阳 王青松[1] 王喜冰 王珠秀[2] GAO Haichao;LI Shucheng;KONG Fanqiang;LI Dongyang;WANG Qingsong;WANG Xibing;WANG Zhuxiu(Department of Cardiology,Affiliated Hospital of Chengde Medical University,Chengde 067000,Hebei,P.R.China;Department of Emergency,Affiliated Hospital of Chengde Medical University,Chengde 067000,Hebei,P.R.China)

机构地区：[1]承德医学院附属医院心内科,河北承德067000 [2]承德医学院附属医院急诊科,河北承德067000

出　　处：《影像科学与光化学》2022年第2期291-295,共5页Imaging Science and Photochemistry

基　　金：河北省医学科学研究课题计划(20211799)。

摘　　要：本研究探讨320排CT血管造影(CTA)联合经胸超声心动图(TTE)在复杂性先天性心脏病诊疗中的应用价值。选取采用室间隔缺损(VSD)、房间隔缺损(ASD)修补手术治疗的66例患者进行研究。所有患儿接受TTE、CTA检查,并对比TTE、CTA检测的VSD、ASD的缺损直径测定值之间的差异。经手术治疗及手术中所见,共计发现ASD、VSD等先心病118处;CTA对118处先心病类型中的正确检出率为78.81%,显著高于TTE的64.41%,差异具有统计学意义(P<0.05);CTA联合TTE对118处先心病类型中的正确检出率为94.07%,显著高于单用CTA方式的78.81%,差异具有统计学意义(P<0.05)。CTA联合TTE在复杂性先天性心脏病诊疗中较二者单用时能显著提高诊断的准确率,对于临床诊断及治疗具有重要价值。This study explored the application value of 320-slice CT angiography(CTA) combined with transthoracic echocardiography(TTE) in the diagnosis and treatment of complex congenital heart disease. A total of 66 patients with ventricular septal defect(VSD) and atrial septal defect(ASD) repaired were selected for study. All children underwent TTE and CTA examinations, and the difference in the defect diameters of VSD and ASD detected by TTE and CTA were compared. A total of 118 congenital heart diseases such as ASD and VSD were found after surgical treatment and operation. The correct detection rate of CTA in 118 congenital heart disease types was 78.81%, which was higher than 64.41% of TTE, and the difference was statistically significant(P<0.05). The correct detection rate of CTA combined with TTE in 118 congenital heart disease types was 94.07%, which was higher than 78.81% of CTA alone, and the difference was statistically significant(P<0.05). CTA combined with TTE can significantly improve the diagnostic accuracy in the diagnosis and treatment of complex congenital heart disease compared with the two alone, which is of great value for clinical diagnosis and treatment.

关 键 词：CT血管造影 经胸超声心动图 室间隔缺损 房间隔缺损 先天性心脏病 

分 类 号：R725.4[医药卫生—儿科]