CT血管成像诊断先天性心脏病合并内脏异位

发布时间：2018-03-08 20:06

本文选题：内脏异位　切入点：心房异构　出处：《中国介入影像与治疗学》2017年03期 　论文类型：期刊论文

【摘要】：目的评价CTA在先天性心脏病合并内脏异位诊断中的价值。方法收集接受CTA检查并经3D后处理的20例先天性心脏病合并内脏异位的患者,观察其心内及心外异常结构。结果20例患者中,左心房异构3例(3/20,15.00%),左肺两叶、右肺三叶2例,双肺两叶1例;单心室2例,房间隔缺损2例,室间隔缺损1例;大动脉异位2例,肺动脉狭窄2例,肺动脉闭锁1例;永存左上腔静脉1例;下腔静脉肝段缺如1例。右心房异构17例(17/20,85.00%),均为双肺三叶;单心室9例,右心室双出口2例,心内膜垫缺损6例,房间隔缺损10例,卵圆孔未闭1例,室间隔缺损8例;大动脉异位14例,肺动脉狭窄16例,肺动脉闭锁1例;肺静脉异位引流6例;永存左上腔7例;下腔静脉肝段缺如2例。结论 CTA可很好地显示心脏、大血管及胸腹腔内的结构,对先天性心脏病合并内脏异位的临床诊断和手术方案的制定有至关重要的作用。
[Abstract]:Objective to evaluate the value of CTA in the diagnosis of congenital heart disease with visceral heterotopia. Results there were 3 cases of left atrial isomerism, 3 cases of left atrium isomerism, 2 cases of left pulmonary lobe, 2 cases of right lobe of lung, 1 case of double lung lobe, 2 cases of single ventricle, 2 cases of atrial septal defect and 1 case of ventricular septal defect. There were 2 cases of great artery heterotopia, 2 cases of pulmonary artery stenosis, 1 case of pulmonary atresia, 1 case of persistent left superior vena cava, 1 case of absence of hepatic segment of inferior vena cava, 17 cases of right atrial isomerism, 17 cases of isomerism of right atrium and 2085.00 fold of right atrium, 9 cases of single ventricle and 2 cases of double outlet of right ventricle. There were 6 cases of endocardial cushion defect, 10 cases of atrial septal defect, 1 case of patent foramen ovale, 8 cases of ventricular septal defect, 14 cases of major artery ectopic, 16 cases of pulmonary artery stenosis, 1 case of pulmonary atresia, 6 cases of anomalous pulmonary venous drainage, 7 cases of persistent superior left cavity, and 3 cases of ventricular septal defect. Conclusion CTA can well display the structure of heart, large vessels and chest and abdominal cavity, and play an important role in the clinical diagnosis of congenital heart disease with visceral heterotopia and the establishment of surgical plan.
【作者单位】：清华大学第一附属医院放射科;
【分类号】：R541.1;R816.2

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