| 64层螺旋CT在新生儿及婴儿先天性心脏病诊断中的应用 |
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| 引用本文： | 阮为勇,杨明,滕皋军.64层螺旋CT在新生儿及婴儿先天性心脏病诊断中的应用[J].东南大学学报(医学版),2009,28(3):212-216. |
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| 作者姓名： | 阮为勇 杨明 滕皋军 |
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| 作者单位： | 1. 东南大学附属中大医院,儿科,江苏,南京,210009
2. 东南大学附属中大医院,放射科,江苏,南京,210009 |
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| 摘 要： | 目的: 探讨64层螺旋CT对新生儿及婴儿先天性心脏病(CHD)的诊断价值.方法: 对55例诊断CHD的新生儿及婴儿进行64层螺旋CT对比增强心脏检查,并用多平面重建、最大密度投影及容积成像进行图像重建.所有病例均做超声心动图(ECG)对照,并经手术证实.结果: 64层螺旋CT、ECG对心血管畸形的诊断准确率分别为96.98%、71.86%,前者诊断准确率明显高于后者(χ2=23.88,P＜0.005).心内畸形68处中,64层螺旋CT、ECG的诊断准确率分别为92.65%、97.06%,两者无统计学差异(χ2=0.68,P＞0.05).心外畸形131处中,64层螺旋CT、ECG的诊断准确率分别为99.24%、58.78%,前者诊断准确率明显高于后者(χ2=32.32,P＜0.005).结论: 64层螺旋CT是诊断CHD可靠的方法,弥补了ECG对心外畸形诊断的不足,尤其能评价主动脉、肺动脉以及冠状动脉,对术前手术方案的制定具有重要价值.
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| 关 键 词： | 先天性心脏病 64层螺旋CT 超声心动图 诊断显像 |
Clinical value of 64-slice spiral CT in neonates and infants with congenital heart disease |
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| RUAN Wei-yong,YANG Ming,TENG Gao-jun.Clinical value of 64-slice spiral CT in neonates and infants with congenital heart disease[J].Journal of Southeast Univ: Medical Sci Ed,2009,28(3):212-216. |
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| Authors: | RUAN Wei-yong YANG Ming TENG Gao-jun |
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| Institution: | 1.Department of Pediatrics;Zhongda Hospital;Southeast University;Nanjing 210009;China;2.Department of Radiology;China |
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| Abstract: | Objective To explore the clinical application of 64slice spiral CT in diagnosing congenital heart disease(CHD) of neonates and infants.Methods 55 neonates and infants with diagnosed CHD underwent cardiac CT angiography with 64-slice CT.Multi plannar reformation,maximum intensity projection and volume render were used to reconstruct image.Echocardiography(ECG) and operation were performed for all patients.Results The accuracy of 64-slice CT and ECG in detecting deformities of CHD were 96.98%,71.86% respectiv... |
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| Keywords: | congenital heart disease 64-slice spiral CT echocardiography diagnostic imaging |
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