64-MSCT在小儿复杂型先天性心脏病诊断中的应用

发布时间：2018-11-23 19:37

【摘要】：目的 探讨64排螺旋CT(64-muti detector spiral computed tomography,64-MSCT)在小儿复杂型先天性心脏病诊断中的价值。 方法 回顾性分析56例小儿复杂型先天性心脏病患者的完整资料。所有患儿均采用彩色多普勒超声和64-MSCT检查,并经常规心血管造影检查和／或手术证实。以手术、心血管造影结果为标准,对比彩色多普勒超声与64-MSCT对小儿复杂型先天性心脏病的诊断价值。 结果56例复杂型先天性心脏病共164个畸形,其中64-MSCT诊断正确151处,诊断符合率为92.07%,彩色多普勒超声诊断正确130处,诊断符合率为79.27%。其中心内结构畸形实际存在59处,64-MSCT诊断正确49处,误诊8处,漏诊2处,诊断符合率为83.05%；彩色多普勒超声诊断正确57处,误诊2处,诊断符合率为96.61%。64-MSCT与彩色多普勒超声对诊断小儿复杂型先天性心脏病的心内结构畸形差异有统计学意义。56例患者实际存在心外畸形结构105处,64-MSCT诊断正确102处,误诊3处,诊断符合率为97.14%；彩色多普勒超声诊断正确73处,漏诊32处,诊断符合率为69.52%,两种检查方法对诊断心外结构畸形差异有统计学意义。 结论 64-MSCT对小儿复杂型先心病心外畸形结构的诊断符合率高于彩色多普勒超声,但是对心内畸形结构的诊断符合率略低于彩色多普勒超声。64-MSCT可以作为小儿复杂型先心病检查方法之一
[Abstract]:Objective to investigate the value of 64-slice spiral CT (64-muti detector spiral computed tomography,64-MSCT) in the diagnosis of complex congenital heart disease in children. Methods the complete data of 56 children with complicated congenital heart disease were retrospectively analyzed. All children were examined by color Doppler ultrasound and 64-MSCT, and confirmed by routine angiocardiography and / or surgery. The diagnostic value of color Doppler ultrasonography and 64-MSCT in children with complicated congenital heart disease was compared. Results there were 164 deformities in 56 cases of complex congenital heart disease, of which 64-MSCT was correctly diagnosed in 151 cases, the diagnostic coincidence rate was 92.07 and the color Doppler ultrasound was correct in 130 cases, and the diagnostic coincidence rate was 79.27. There were 59 structural deformities in the center, 49 were correctly diagnosed by 64-MSCT, 8 were misdiagnosed and 2 missed. The diagnostic coincidence rate was 83.05; Color Doppler ultrasound diagnosed 57 cases correctly and misdiagnosed 2 cases. The diagnostic coincidence rate was that 96.61%.64-MSCT and color Doppler ultrasound were significantly different in the diagnosis of complex congenital heart disease in children. There were 105 extracardiac malformations in 56 patients. 64-MSCT diagnosis was correct in 102 cases and misdiagnosed in 3 cases. The diagnostic coincidence rate was 97.14%. There were 73 correct diagnosis and 32 missed diagnosis by color Doppler ultrasound, and the diagnostic coincidence rate was 69.522.There was significant difference between the two methods in the diagnosis of extracardiac structural deformity. Conclusion the diagnostic accuracy of 64-MSCT in the diagnosis of extracardiac malformation in children with complex congenital heart disease is higher than that of color Doppler ultrasound. However, the diagnostic coincidence rate of intracardiac malformations was slightly lower than that of color Doppler sonography. 64-MSCT can be used as one of the methods for the diagnosis of complex congenital heart disease in children.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R725.4

【参考文献】

相关期刊论文 前10条

1 费维敏;李庚武;陈冰清;;心血管造影在儿童复杂性先天性心脏病诊断中的应用[J];安徽卫生职业技术学院学报;2011年03期

2 黄超岚,程志清;中医药免疫调节治疗病毒性心肌炎研究进展[J];浙江中医学院学报;2004年05期

3 芮以融;;补气养阴活血化瘀治疗病毒性心肌炎疗效观察[J];浙江中医药大学学报;2011年02期

4 田新华;刘建华;弓婷婷;耿丽莉;孙勇;;256层螺旋CT心电门控成像在诊断先天性心脏病中的临床应用[J];吉林大学学报(医学版);2011年05期

5 朱铭;;儿童先天性心脏病磁共振成像[J];磁共振成像;2011年01期

6 谭忠友;肖祥彬;易岂建;;小儿病毒性心肌炎机制研究和临床治疗进展[J];重庆医学;2009年07期

7 李可;邹利光;孙清荣;文利;梁开运;廖翠薇;;电子束CT和超声心动图在诊断先天性心脏病中的对照研究[J];第三军医大学学报;2007年06期

8 郭吉刚;郭顺林;周怀琪;杜富会;王刚;徐凤;;64层螺旋CT对先天性心脏病的诊断价值[J];放射学实践;2009年07期

9 胡喜红;黄国英;;磁共振成像诊断先天性心脏病的研究[J];国际儿科学杂志;2007年06期

10 马沛然;肾上腺皮质激素治疗小儿病毒性心肌炎[J];世界临床药物;2003年07期

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