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64排螺旋CT在发绀型先天性心脏病肺血管成像中的应用
引用本文:杨向太,唐向周,张群,李国业,谈文开,成佛金.64排螺旋CT在发绀型先天性心脏病肺血管成像中的应用[J].岭南心血管病杂志,2009,15(3).
作者姓名:杨向太  唐向周  张群  李国业  谈文开  成佛金
作者单位:广东省人民医院,广东省医学科学院,广东省心血管病研究所心导管室,广州,510080
摘    要:目的 评价64排螺旋CT(multislice spiral computed tomography,MSCT)对于发绀型先天性心脏病肺血管成像的临床应用价值.方法 回顾335例发绀型先天性心脏病患者的64排螺旋CT影像学资料,男218例,女117例,年龄1 d~37岁,中位年龄4岁.其中152例曾行手术治疗,另42例同时行血管造影术(cardioangiography,CAG)检查,对比其结果 并进行统计学分析.结果 152例患者经手术证实肺血管共有271处畸形.64排MSCT确诊258处畸形,符合率95.2%(258/271).42例患者经手术证实109处畸形,64排MSCT确诊102处畸形,符合率93.6%(102/109);CAG确诊106处畸形,符合率97.2%(106/109).MSCT和CAG对比,诊断符合率差异无统计学意义(P>0.05).结论 64排MSCT对发绀型先天性心脏病肺血管畸形的诊断有较高的符合率.且快捷、无创,具有较高的临床应用价值.

关 键 词:心脏缺损  先天性  发绀  肺血管  体层摄影术  螺旋计算机

Clinical application of 64-slice multislice spiral computed tomography in imaging of pulmonary vascular in cyanotic heart disease
YANG Xiang-tai,TANG Xiang-zhou,ZHANG Qun,LI Guo-ye,TAN Wen-kai,CHENG Fo-jin.Clinical application of 64-slice multislice spiral computed tomography in imaging of pulmonary vascular in cyanotic heart disease[J].South China Journal of Cardiovascular Diseases,2009,15(3).
Authors:YANG Xiang-tai  TANG Xiang-zhou  ZHANG Qun  LI Guo-ye  TAN Wen-kai  CHENG Fo-jin
Institution:Department of Radiology;Guangdong Provincial Cardiovascular Institute;Guangdong Provincial Academy of Medical Science;Guangdong General Hospital;Guangzhou 510080;China
Abstract:Objectives To evaluate the accuracy of 64 slice multislice spiral computed tomography ( 64 slice MSCT) in the imaging of the pulmonary vascular in cyanotic heart disease. Methods We retrospectively analyzed 335 patients with cyanotic heart disease (218 men and 117 women, the age ranged from 1 d to 37 years, mean 4 years) who underwent 64 slice MSCT. Among them, 152 patients underwent surgery; 42 patients underwent 64 slice MSCT and cardioangiography ( CAG) , the results were compared with surgical finding. ...
Keywords:congenital heart disease  cyanose  pulmonary vascular  64-slice computed tomography in imaging
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