双源CT在复杂性先天性心脏病中诊断应用.docVIP

【摘要】 目的：探讨双源CT在复杂性先天性心脏病的诊断价值。方法：对20例经手术证实的复杂先心病患者的心脏双源CT（DSCT）和经胸壁超声心动图(TTE)检查资料进行回顾性分析。结果：20例患者中手术证实畸形84处，DSCT与TTE均检出69处，检出率为82.14%。其中，心脏部分畸形29处，DSCT检出率75.86%，TTE检出率93.10%，二者的检出率差异无显著性 (P0.05)；心脏-大血管连接部畸形12处，DSCT检出率66.67%，TTE检出率83.33%，二者的检出率亦无显著差异 (P0.05)；大血管部分畸形43处， DSCT检出率90.70%，TTE检出率74.42%，DSCT的检出率显著高于TTE (P0.05)。结论：心脏双源CT对心外大血管畸形的检出率优于经胸壁超声心动图，可作为复杂性先心病的术前常规检查手段。 【关键词】 心脏缺损，先天性；体层摄影术，X线计算机；超声心动描记术　Clinical application of dualsource computed tomography in diagnosis of complex congenital heart disease/HUANG Xinming,DUAN Qing,XUE Yunjing,WANG Chengsheng,WANG Lili,CHEN Guangliang//Chinese Journal of Cardiovascular Rehabilitation Medicine,2009,18(2):167 Abstract：Objective:To evaluate the clinical value of dualsource computed tomography(DSCT) in patients with complex congenital heart disease.Methods:Imaging data of DSCT and transthoracic echocardiography(TTE) obtained in 20 patients before operatively were analyzed retrospectively.Results:In the 20 patients， their diagnosis of 84 deformities were confirmed by surgery.The accuracy of DSCT and TTE were same (82.14%). There were 29 intracardiac deformities， 22(75.86%) detected by DSCT， 27(93.10%) detected by TTE,the diagnosis accuracy between DSCT and TTE had no difference (P0.05). There were 12 heartvessel conjunction deformities，8(66.67%) detected by DSCT and 10(83.33%) detected by TTE,their diagnosis accuracy also had no difference (P0.05). There were 43 great vessel deformities，39(90.70%) detected by DSCT and 32(74.42%) detected by TTE;diagnosis accuracy of DSCT was superior to TTE(90.70%∶74.42%,P0.05).Conclusion:DSCT is superior to TTE in the diagnosis of great vessel deformities，may be one of the preoperative detection method of complex congenital heart disease. Author′s　address：Department of CT/MRI,Xiehe Hospital,Affiliated of Fujian Medical University，Fuzhou,Fujian,350001，China Key words：Heart defect,congenital;Tomography,X-ray computed;Echocardiography 复杂性先天性心脏病（简称复杂先心病）由于并存多种畸形