磁共振对法洛四联症的诊断价值.doc

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磁共振对法洛四联症的诊断价值 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1:磁共振对法洛四联症的诊断价值 1 1 材料和方法 2 2 结果 3 3 讨论 4 文2:烟雾病的磁共振诊断价值 6 1资料与方法 7 参考文摘引言: 9 原创性声明(模板) 10 文章致谢(模板) 11 正文 磁共振对法洛四联症的诊断价值 文1:磁共振对法洛四联症的诊断价值 Diagnostic Value of MRI in TOF Surgery Abstract: Objective To probe into the clinical significance of magnetic resonance imaging (MRI) in diagnosing tetralogy of Fallot (TOF) and estimating its operative indicatio. Methods By mea of MRI and echocardiography, 52 cases in the research group underwent the measurement of ventricular septal defect, pulmonary artery and left ventricle, by which Mcgoon ratio, Nakata index and the index of left ventricular diastasis would be given out. In order to determine the operative indication, the outcomes of the calculation were judged compreheively, according to which TOF operative indication and prognosis were estimated. Their results were also compared with the outcomes of the measurement during the operatio. Results The compariso showed no significant differences among the results of measured respectively by MRI, echocardiography and operation. Conclusion It is reliable to use MRI to diagnose TOF and determine its operative indication, and MRI can be used as one of the alternative mea to diagnose TOF since it is more objective and repeatable in showing pulmonary artery, compared with echocardiography, and yields the benefits of saving money and having less injury to patients, compared with selective ventriculography. Key words: magnetic resonance imaging; tetralogy of Fallot; operative indication 法洛四联症(TOF)是最常见的发绀型复杂先天性心脏病,占先心病的10%,几乎是复杂先心病的50%~90%[1]。术前明确诊断和了解其室缺位置、主动脉骑跨程度,尤其是右室流出道及肺动脉狭窄的解剖形态和左心室发育情况,对术前判定手术适应证、设计手术方案和估计预后至关重要。本组52例TOF病人未进行选择性右心室造影,仅通过磁共振(MRI)成像与超声心动图检查,并进行对照研究、综合判断,最后经手术证实。本组病人中,46例进行Ⅰ期矫治术,6例行中央分流术,无死亡和严重并发症。 1 材料和方法 材料 本组52例TOF病人中,男29例,女23例,年龄1~48岁,平均岁。所有病例均有不同程度的发绀、杵状指(趾),有缺氧发作病史者5例。胸片:心胸比值~;心电图:电轴右偏+112~+188°,右心室肥厚;血红蛋白122~264 g/L,血细胞压积47%~73%,尿蛋白++~+++ 12例。 扫描设备 通用电器公司 T 超导磁共振成像仪、菲利浦SD80

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