CAJ | 학술논문

目的探讨超声心动图和双源CT在川崎病冠状动脉瘤的诊断价值,并将2种技术检查结果进行对比分析.方法收集在我院行超声心动图及双源CT检查的10例川崎病患儿,观察冠状动脉的扩张程度和冠状动脉瘤的形态、大小、位置和数目.结果超声心动图显示所有患儿左、右冠状动脉均扩张,内壁粗糙,共有21个冠状动脉瘤形成,5例患儿扩张的瘤内可见附壁血栓,部分血栓可见钙化.双源CT共观察到29个冠状动脉瘤,其中8个较小或位于中远段的冠状动脉瘤超声心动图未能发现.结论彩色多普勒超声心动图具有安全、简便、准确、可靠的优势,并能重复动态观察冠状动脉扩张及其演变的全过程,但对冠状动脉远段的病变无法检出,而双源CT可与超声心动图互补,图像与心血管造影图像很相似,已成为无创伤性的新技术.
목적 탐토초성심동도화쌍원CT재천기병관상동맥류적진단개치,병장2충기술검사결과진행대비분석.방법 수집재아원행초성심동도급쌍원CT검사적10례천기병환인,관찰관상동맥적확장정도화관상동맥류적형태、대소、위치화수목.결과 초성심동도현시소유환인좌、우관상동맥균확장,내벽조조,공유21개관상동맥류형성,5례환인확장적류내가견부벽혈전,부분혈전가견개화.쌍원CT공관찰도29개관상동맥류,기중8개교소혹위우중원단적관상동맥류초성심동도미능발현.결론 채색다보륵초성심동도구유안전、간편、준학、가고적우세,병능중복동태관찰관상동맥확장급기연변적전과정,단대관상동맥원단적병변무법검출,이쌍원CT가여초성심동도호보,도상여심혈관조영도상흔상사,이성위무창상성적신기술.
Objective To assess the value of color Doppler flow in diagnosing coronary artery aneurysm of Kawasaki disease and compare it with Dual-source CT (DSCT).Methods A total of 10 cases hospitalized in our hospital were reviewed retrospectively.Coronary artery aneurysm of Kawasaki disease was diagnosed by echocardiography and DSCT.The number,location,shape and size of each coronary artery aneurysm gotten from DSCT were observed and compared with those from echocardiography simultaneously.Results The characteristics of 2-D echocardiogram findings included dilated left and right coronary artery,formed twenty-one coronary artery aneurysms,rough endometrium and thrombosis of coronary artery.There were thrombosis and calcification in part of the thrombosis in five patients.Twenty-nine coronary artery aneurysms were observed by DSCT.Echocardiography failed to detect 8 aneurysms of small size and located in the middle or distal segments of the coronary Arteries.Conclusions Echocardiography is safe,feasible,accurate and reliable.It can repeatedly obtain dynamic observation of the whole course of coronary artery dilation and succession,but it fails in diagnosing the distal segments of coronary diseases.As a non-invasive imaging modality,DSCT can make up for the shortcoming of echocardiography and its image is similar to coronary angiography.