| 王荣峰,陈正光,白燕,李林,杨毅.多层螺旋CT诊断完全型肺静脉异位引流[J].中国医学影像技术,2010,26(11):2087~2090 |
| 多层螺旋CT诊断完全型肺静脉异位引流 |
| Multi-slice spiral computed tomography in diagnosis of total anomalous pulmonary venous connection |
| 投稿时间：2010-05-20 修订日期：2010-08-21 |
| DOI： |
| 中文关键词: 体层摄影术,X线计算机 先天性心脏病 完全型肺静脉异位引流 |
| 英文关键词:Tomography, X-ray computed Congenital heart disease Total anomalous pulmonary venous connection |
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| 中文摘要: |
| 目的 探讨多层螺旋CT(MSCT)在完全型肺静脉异位引流(TAPVC)诊断中的应用。方法 分析25例经手术证实的TAPVC患者MSCT增强扫描图像及多平面重建、曲面重建、最大密度投影、容积再现图像。结果 MSCT 正确诊断2 5例TAPVC,准确率100%。本组病例均伴有心房畸形,MSCT诊断房间隔缺损和室间隔缺损的准确率分别为83.33%(15/18)和81.82%(9/11)。对单心房、单心室、大动脉转位、右室双出口、动脉导管未闭、右心房异构、三尖瓣闭锁、肺动脉瓣下狭窄、肺动脉闭锁、主动脉弓发育不良及肺动脉高压,MSCT与手术结果完全符合。结论 MSCT对于TAPVC及其合并的其他畸形具有重要的诊断价值。 |
| 英文摘要: |
| Objective To assess the value of multi-slice spiral computed tomography (MSCT) in the diagnosis of total anomalous pulmonary venous connection (TAPVC). Methods MSCT enhanced images and images of multi-planar reformation, curved planar reformation, maximum intensity projection, volume rendering of 25 TAPVC patients confirmed by surgery were analyzed. Results All patients were diagnosed correctly with MSCT. The diagnostic accuracy was 100%. All patients combined with atrial malformations, the diagnostic accuracy of atrial septal defect and ventricular septal defect with MSCT was 83.33% (15/18) and 81.82% (9/11), respectively. Other combined malformations such as single-atrial, single ventricle, transposition of great arteries, double outlet right ventricle, patent ductus arteriosus, right atrial isomerism, tricuspid atresia, subpulmonary stenosis, pulmonary atresia, dysplasia of aortic arch and pulmonary hypertension were diagnosed correctly with MSCT in accordance with surgical findings. Conclusion As a non-invasive examination method, MSCT has high value in diagnosing TPAVC and combined malformations. |
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