| 58 | 3 | 13 |
| 下载次数 | 被引频次 | 阅读次数 |
本研究探讨多层螺旋CT(MSCT)诊断大血管部分畸形先天性心脏病患儿的临床价值。选取经手术证实的125例先天性心脏病患儿作为研究对象,其中41例为大血管部分畸形先天性心脏病患儿,另外84例为心内结构异常的先天性心脏病患儿。对125例患儿的多层螺旋CT影像学资料进行回顾性分析,统计分析MSCT与其诊断结果的一致性。MSCT对大血管部分畸形先天性心脏病与心内先天性心脏病的鉴别诊断灵敏度为92.68%、特异度为94.05%;心脏彩超对大血管部分畸形先天性心脏病与心内先天性心脏病的鉴别诊断灵敏度为73.17%、特异度为90.48%。MSCT诊断大血管部分畸形先天性心脏病患儿作为一种无创手段,较心脏超声具有更高的灵敏度。
Abstract:The diagnostic value of multi-slice spiral CT(MSCT) in the diagnosis of large vascular malformations in children with congenital heart disease. One hundred and twenty-five children with congenital heart disease confirmed by surgery in our hospital were selected as the research objects, of which 41 were children with congenital heart disease with partial malformation of large vessels, and the other 84 were children with congenital heart disease with abnormal heart structures. The imaging data of 125 children with multi-slice spiral CT were retrospectively analyzed, and the consistency between MSCT and its diagnosis results was statistically analyzed. MSCT has a sensitivity of 92.68% and a specificity of 94.05% in the differential diagnosis of congenital heart disease and intracardiac congenital heart disease with partial malformation of large vessels. The differential diagnosis sensitivity of internal congenital heart disease was 73.17%, specificity was 90.48%, MSCT is a non-invasive method for diagnosing partial malformations of large vessels in children with congenital heart disease, which has higher sensitivity than cardiac ultrasound.
[1] 张惠丽,李守军,闫军,等.新生儿复杂先天性心脏病15年治疗分析[J].中华新生儿科杂志,2019,34(6):401-407.
[2] 程峰,光雪峰,戴海龙.先天性心脏病介入治疗进展[J].中国心血管病研究,2018,16(1):1-4.
[3] 赵静涵,杜颖,陈玉龙,等.超声心动图联合多层螺旋CT对儿童复杂性先天性心脏病的诊断价值[J].中西医结合心脑血管病杂志,2019,17(2):268-271.
[4] 姚晓松,陈菲,许晓辉,等.超声与CT联合应用在复杂先天性心脏病中的诊断价值分析[J].医学理论与实践,2019,32(18):2976-2977.
[5] 沈晓明.儿科学[M].第七版.北京:人民卫生出版社,13:13-15.
[6] Demeter C N,Gunther W M,Fantaskey A P.Complex congenital heart malformation including transposition of the great vessels,presenting as sudden unexplained infant death[J].Journal of Forensic Sciences,2019,64(4):1241-1244.
[7] 王丽阳,陈慧敏,孙真真,等.超声心动图与CT血管造影在复杂性先天性心脏病中的诊断价值[J].国际医药卫生导报,2020,26(5):680-682.
[8] Bar E,Singh Y.G384 detection of congenital heart defects on fetal anomaly screening:a single centre experience over three years[J].Archives of Disease in Childhood,2019,104(2):156-157.
[9] Ponziani F R,Faccia M,Zocco M A,et al.Congenital extrahepatic portosystemic shunt:description of four cases and review of the literature[J].Journal of Ultrasound,2019,22(3):349-358.
[10] Inukai K,Takashima N,Fujihata S,et al.Arteriovenous malformation in the sigmoid colon of a patient with cowden disease treated with laparoscopy:a case report[J].BMC Surgery,2018,18(1):21-22.
[11] Wu X,Zhu J,Liu H,et al.Translational value of partial resection of the pulmonary artery wall for congenital heart disease-induced bronchial compression[J].The Journal of International Medical Research,2019,47(10):4949-4957.
[12] Bu H,Liu L,Hu S,et al.Targeted next-generation sequencing for research and diagnostics in congenital heart disease,and cleft lip and/or palate[J].Molecular Medicine Reports,2019,19(5):3831-3840.
[13] Gibbons T D,Zuj K A,Peterson S D,et al.Comparison of pulse contour,aortic Doppler ultrasound and bioelectrical impedance estimates of stroke volume during rapid changes in blood pressure[J].Experimental Physiology,2018,104(3):368-378.
[14] Kemp P,Stralen J V,Graaf P D,et al.Cone-beam CT compared to multi-slice CT for the diagnostic analysis of conductive hearing loss:a feasibility study[J].Journal of International Advanced Otology,2020,16(2):222-226.
[15] Wang M,Wei C,Shi Z,et al.Study on the diagnosis of small hepatocellular carcinoma caused by hepatitis B cirrhosis via multislice spiral CT and MRI[J].Oncology Letters,2018,15(1):503-508.
[16] Wang S Q,Ren F Y,Wang J H,et al.Diagnostic value of multislice spiral computed tomography (CT) combined with CT angiography for intra-abdominal undescended testis secondary seminomas[J].Cancer Imaging,2019,19(1):24-25.
[17] Patel D L,Rana Y R,Sheth M M,et al.MSCT imaging of various shunts and grafts in post operative cases of congenital heart diseases[J].International Journal of Research in Medical Sences,2019,7(3):860-861.
基本信息:
中图分类号:R816.92;R725.4
引用信息:
[1]屠娜娜,周玲.多层螺旋CT诊断先天性心脏病患儿大血管部分畸形的研究[J].影像科学与光化学,2021,39(04):574-578.
2021-07-15
2021-07-15