心血管造影磁共振成像与经胸超声对先天性胸内大血管畸形的诊断价值比较临床医学.docVIP

心血管造影磁共振成像与经胸超声对先天性胸内大血管畸形的诊断价值比较临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 2 文1：心血管造影磁共振成像与经胸超声对先天性胸内大血管畸形的诊断价值比较临床医学 2 1 材料与方法 4 1．2 仪器设备 4 1．3 检查方法 4 1．3．1 造影方法 4 1．3．2 超声检查方法 4 1．3．3 磁共振检查方法 5 1．4 判定标准 5 1．5 统计学方法 5 2 结果 6 2．1 手术结果 6 2．2 MRI，CAG，TTE三种影像检查结果 6 2．2．1 主动脉系畸形 6 2．2．2 主肺动脉分流畸形 7 2．2．3 完全性肺静脉异位引流 7 2．2．4 冠状动脉心室瘘 7 2．3 MRI与CAG，TTE结果比较 7 2．3．1 诊断的准确性比较 8 2．3．2 合并心脏畸形检出率比较 8 2．3．3 测量的准确性 8 2．3．4 病变细节显示情况 8 2．3．5 经济 价值比较 9 3 讨论 9 3．1 MRI与CAG，TTE对比观察结果的评价 9 3．1．1 主动脉系畸形 9 3．1．2 主肺动脉系畸形 10 3．1．3 冠状动脉心室瘘 11 3．1．4 完全性肺静脉异位引流 11 3．2 合并心脏畸形的判断 12 3．3 消耗经费分析 12 3．4 假阳性，假阴性分析 12 4 结论 13 4．2 本研究表明 13 文2：彩色多普勒超声心动图对先天性主动脉瓣畸形的诊断价值 14 1 资料与方法 14 2 结果 15 二维超声表现 15 3 讨论 16 参考文摘引言： 17 原创性声明（模板） 18 文章致谢（模板） 19 正文 心血管造影磁共振成像与经胸超声对先天性胸内大血管畸形的诊断价值比较临床医学 文1：心血管造影磁共振成像与经胸超声对先天性胸内大血管畸形的诊断价值比较临床医学 Abstract： Objective To analyse the advantage and disadvantage of magnetic resonance imaging (MRI), cardioangiography (CAG) and thoracicthrough echocardiography (TTE) in the diagnoses of congenital abnormalities of the intrathoracic great vessels (CAITGV), and to discuss the clinically applicative value of MRI. Methods The diagnoses of 132 doubted patients with CAITGV by MRI, TTE and MRI at General Hospital of Shenyang Military Region from 1993 to 1998 were retrospectively Of the 132 doubted patients, 98 ones with 119 abnormalities were verified by surgical operation. The seitivity and the specificity of MRI, TTE and CAG were % and %, % and 100%, and % and 100%, respectively. The seitivity of MRI was superior to that of TTE (P) and equal to that of CAG (P). Conclusion MRI, which can clearly show the location of deformation and the different anatomic details of CAITGV if complicated with TTE, can be used as a complement of CAG examination for some diseases such as interruption of aortic arch, coarctation of aorta, atresia of aorta, total anomalous pulmonary venous