摘要
目的 探究超声心动图与多层螺旋CT在复杂性先天性心脏病（CCHD）诊断中的应用价值.方法 选取2012年4月至2016年4月山西省儿童医院73例CCHD患儿,均进行超声心动图、多层螺旋CT诊断,并结合二者影像学资料进行确诊.记录73例CCHD患儿疾病类型分布结果,并对比超声心动图、多层螺旋CT及超声心动图联合多层螺旋CT诊断准确率.结果 73例患儿经手术病理证实,共172处心脏畸形,通过节段分析法可知,30例心外大血管畸形、52例心脏大血管连接处畸形、90例心内与房室连接处畸形;多层螺旋CT诊断出155处心脏畸形,包括28例心外大血管畸形、48例心脏大血管连接处畸形、79例心内与房室连接处畸形;超声心动图诊断中158处心脏畸形,包括28例心外大血管畸形、49例心脏大血管连接处畸形、81例心内与房室连接处畸形;超声心动图联合多层螺旋CT诊断出167处心脏畸形,包括29例心外大血管畸形、50例心脏大血管连接处畸形、88例心内与房室连接处畸形;超声心动图诊断准确率91.86％（158/172）与多层螺旋CT 90.12％（155/172）相比,差异无统计学意义（P＞0.05）,超声心动图联合多层螺旋CT诊断准确率97.09％（167/172）高于超声心动图91.86％（158/172）、多层螺旋CT 90.12％（155/172）,差异有统计学意义（P＜0.05）.结论 临床诊断CCHD患儿应用超声心动图与多层螺旋CT联合诊断,诊断准确率较高,可为手术方案选择及预后判断提供有力影像学支持.
Objective To investigate the value of echocardiography and multi-slice spiral CT in the diagnosis of complex congenital heart disease（CCHD）.Methods 73 children with CCHD were selected and diagnosed by echocardiography and multi-slice spiral CT in Children＆#39;＆#39;s Hospital of Shanxi Province from April 2012 to April 2016.The distribution of disease types in 73 children with CCHD was recorded,and the diagnostic accuracy of multi-slice spiral CT was compared with echocardiography,multi-slice spiral CT and echocardiography.Results 73 children with CCHD had a total of 172 cardiac malformations confirmed by operation and pathology.By segment analysis,there were 30 cases of extracardiac vascular malformations,52 cases of abnormal heart and vascular connection,90 cases of atrial and atrioventricular junction deformity.Multislice spiral CT was performed to detect 155 cases of cardiac malformations,including 28 cases of extracardiac malformation,48 cases of maligant heart and great vessels,79 cases of intracardiac and atrioventricular malformation.Echocardiographic diagnosis of 158 cases of cardiac malformations,including 28 cases of extracardiac vascular malformations,49 cases of large vascular malformations,81 cases of intracardiac and atrioventricular junction deformity.Echocardiography combined with multi-slice spiral CT in the diagnosis of 167 cases of cardiac malformations,including 29 cases of extracardiac vascular malformations,50 cases of large vascular malformations,88 cases of intracardiac and atrioventricular malformation.The diagnostic accuracy between echocardiography [91.86%（158/172）] and multislice spiral CT [90.12%（155/172）] had no significant difference （P〉0.05）.The diagnostic accuracy of echocardiography combined with multi-slice spiral CT was 97.09%（167/172）,which was higher than 91.86%（158/172） of echocardiography and 90.12%（155/172） of multislice spiral CT,the difference was statistically significant（P〈0.05）.Conclusion The echocardiography combined with multi-slice spiral CT in the diagnosis of CCHD has high accuracy,it can provide strong imaging support for surgical options and prognosis.
出处
《中国基层医药》
CAS
2017年第17期2682-2686,共5页
Chinese Journal of Primary Medicine and Pharmacy
