小儿复杂先天性心脏病CT诊断分析及与肌钙蛋白水平异常的关系研究  

CT Diagnosis of Complex Congenital Heart Disease in Children and its Relationship with Troponin Level Abnormality

作　　者：解传永 孙峰 XIE Chuan-yong;SUN Feng(Department of Radiology,The Third People's Hospital of Shangqiu City,Shangqiu 476000,Henan Province,China)

机构地区：[1]商丘市第三人民医院放射科,河南商丘476000

出　　处：《罕少疾病杂志》2022年第9期30-31,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的本文分析小儿复杂先天性心脏病CT诊断效果及其与肌钙蛋白水平异常的关系,为临床诊断及治疗提供参考。方法对本院2018年6月至2002年6月期间经多层螺旋CT检查的儿童先天性心脏病患者80例进行研究,分析多层螺旋CT检查小儿复杂先天性心脏病的效果及小儿复杂先天性心脏病cTnI和CRP水平变化。结果80例复杂先天心脏病小儿共有畸形211处,多层螺旋CT在准确诊断右心室双出口、肺动脉狭窄和肺动脉闭锁诊断方面优于心脏B超,且多层螺旋CT检查小儿复杂先天性心脏病准确率明显高于心脏B超准确率(P<0.05);小儿复杂先天性心脏病血清中cTnI和CRP明显高于对照组(P<0.05)。结论小儿复杂先天性心脏病CT诊断效果较好,且肌钙蛋白水平明显升高,可在临床上相互印证。Objective This article tried to analyze the diagnostic effect of CT in children with complex congenital heart disease and its relationship with the abnormal level of troponin,and provided a reference for clinical diagnosis and treatment.Methods 80 cases of children with congenital heart disease examined by multi-slice spiral CT in our hospital from June 2018 to June 2020 were studied.The effect of multi-slice spiral CT on children with complex congenital heart disease and the changes of cTnI and CRP levels in children with complex congenital heart disease were analyzed.Results 80 cases of complicated congenital heart disease had 211 common deformities.Multislice spiral CT was better than cardiac B ultrasound in diagnosis of double exit of right ventricle,pulmonary artery stenosis and pulmonary atresia,and the accuracy rate of multi spiral CT for complicated congenital heart disease was significantly higher than that of cardiac B ultrasound(P<0.05).The serum cTnI and CRP levels in children with complex congenital heart disease were significantly higher than those in the control group(P<0.05).Conclusion The CT diagnosis of complex congenital heart disease in children is better than echocardiography,and the level of troponin is significantly higher in complex congenital heart disease patients.

关 键 词：小儿复杂先天性心脏病 CT诊断 肌钙蛋白 心脏B超 准确率 

分 类 号：R725.4[医药卫生—儿科]