CAJ | 학술논문

目的：探讨128层MSCT在新生儿复杂型先天性心脏病（CCHD）的应用价值。方法对我院手术证实的35例新生儿CCHD进行回顾性心电门控128层MSCT扫描，分析新生儿心脏CT检查特殊的扫描技术，并与超声心动图比较。结果所有新生儿均成功完成MSCT心脏扫描。本组35例新生儿复杂型CHD中，MSCT共检出93个心内外结构异常，超声心动图则检出86个，两种检查方法对于显示畸形部位数目的差异没有统计学意义（P＝0.205）。但超声比MSCT多发现3例房/室间隔缺损及2例肺动脉瓣狭窄，而MSCT比超声心动图多发现12例心外血管畸形。结论 MSCT回顾性心电门控扫描技术能较好评价新生儿复杂型CHD，弥补超声心动图对心外血管畸形显示能力低的缺点。
목적：탐토128층MSCT재신생인복잡형선천성심장병（CCHD）적응용개치。방법대아원수술증실적35례신생인CCHD진행회고성심전문공128층MSCT소묘，분석신생인심장CT검사특수적소묘기술，병여초성심동도비교。결과소유신생인균성공완성MSCT심장소묘。본조35례신생인복잡형CHD중，MSCT공검출93개심내외결구이상，초성심동도칙검출86개，량충검사방법대우현시기형부위수목적차이몰유통계학의의（P＝0.205）。단초성비MSCT다발현3례방/실간격결손급2례폐동맥판협착，이MSCT비초성심동도다발현12례심외혈관기형。결론 MSCT회고성심전문공소묘기술능교호평개신생인복잡형CHD，미보초성심동도대심외혈관기형현시능력저적결점。
Objective To evaluate of the application of 128-slice CT in complex congenital heart disease(CCHD)of neonates.Methods 35 neonates with CCHD underwent 128-slice CT using retrospective ECG-gating.The CT was compared with echocardiography.Results In 35 patients,there was no significant difference between CT(93)and echocardiography(86)for demonstrating intra- and extra-cardiac abnormalities(P=0.205).Three ventricular/atria sepal defects and 2 pulmonary valvular sclerosis were depicted only on echocardiography whereas 12 extra-cardiac vascular abnormalities were seen only on CT.Conclusion Retrospective ECG-gated 128-slice CT complements echocardiography for evaluating extra-cardiac vascular abnormalities in CCHD.