现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
34期
3784-3789
,共6页
刘芳%张帅%郭一清%刘建滨
劉芳%張帥%郭一清%劉建濱
류방%장수%곽일청%류건빈
心外血管畸形%先天性%体层摄影术%X线计算机
心外血管畸形%先天性%體層攝影術%X線計算機
심외혈관기형%선천성%체층섭영술%X선계산궤
extracardiac vascular malformation%congenital%tomography%x-ray computed
目的：探讨多层螺旋CT（MSCT）在先天性心外大血管畸形中的诊断价值。方法分析具有典型影像学表现或经手术证实的35例先天性心外大血管畸形患者胸部MSCT增强扫描及经胸超声心动图（ UCG）检查资料，其中27例同时进行CTA扫描。比较MSCT结果与UCG结果， MSCT 增强结果与 CTA 结果。结果先天性心外大血管畸形共86处。MSCT、UCG符合率分别为95．3％和79．1％，两者比较差异有统计学意义（礸2＝8．45，P＜0.01）；MSCT增强结果与CTA结果符合率分别为80．2％和95．7％，两者比较差异有统计学意义（礸2＝7．69，P＜0．05）。结论 MSCT尤其是MSCTA，在先天性心外大血管畸形的诊断中具有明显优势，可以全面清晰地显示先天性心外大血管畸形的病理解剖结构，为诊断、治疗及预后提供了可靠的依据。
目的：探討多層螺鏇CT（MSCT）在先天性心外大血管畸形中的診斷價值。方法分析具有典型影像學錶現或經手術證實的35例先天性心外大血管畸形患者胸部MSCT增彊掃描及經胸超聲心動圖（ UCG）檢查資料，其中27例同時進行CTA掃描。比較MSCT結果與UCG結果， MSCT 增彊結果與 CTA 結果。結果先天性心外大血管畸形共86處。MSCT、UCG符閤率分彆為95．3％和79．1％，兩者比較差異有統計學意義（礸2＝8．45，P＜0.01）；MSCT增彊結果與CTA結果符閤率分彆為80．2％和95．7％，兩者比較差異有統計學意義（礸2＝7．69，P＜0．05）。結論 MSCT尤其是MSCTA，在先天性心外大血管畸形的診斷中具有明顯優勢，可以全麵清晰地顯示先天性心外大血管畸形的病理解剖結構，為診斷、治療及預後提供瞭可靠的依據。
목적：탐토다층라선CT（MSCT）재선천성심외대혈관기형중적진단개치。방법분석구유전형영상학표현혹경수술증실적35례선천성심외대혈관기형환자흉부MSCT증강소묘급경흉초성심동도（ UCG）검사자료，기중27례동시진행CTA소묘。비교MSCT결과여UCG결과， MSCT 증강결과여 CTA 결과。결과선천성심외대혈관기형공86처。MSCT、UCG부합솔분별위95．3％화79．1％，량자비교차이유통계학의의（찰2＝8．45，P＜0.01）；MSCT증강결과여CTA결과부합솔분별위80．2％화95．7％，량자비교차이유통계학의의（찰2＝7．69，P＜0．05）。결론 MSCT우기시MSCTA，재선천성심외대혈관기형적진단중구유명현우세，가이전면청석지현시선천성심외대혈관기형적병리해부결구，위진단、치료급예후제공료가고적의거。
Objective It is to investigate the value of multi-slice spiral CT ( MSCT) in the diagnosis of congenital extracar-diac vascular malformation.Methods Congenital extracardiac vascular malformation was analyzed in 35 patients which had typ-ical iconographical performances or been confirmed by surgery.All the patients were examined by contrast-enhanced MSCT and by ultrasound cardiograms ( UCG) , 27 of them underwent computed tomography angiography( CTA) .Then according to the results of clinical conclusions,all comprehensive informations of MSCT were compared with the findings of UCG,the results of contrast-enhanced MSCT were compared with the results of CTA.Rseults A total of eighty-six extracardial vascular mal-formations were confirmed.The definite rate of diagnosis of MSCT and UCG were 95.3%,79.1%respectively,and the differ-ence was statistically significant(χ2=8.45,P<0.01 ) .The definite rate of diagnosis of contrast-enhanced MSCT and CTA were 80.2%,95.7%respectively,and the difference was statistically significant(χ2=7.69,P<0.05).Conclusions MSCT has obvious advantages in diagnosis of patients with congenital extracardiac vascular malformation,especially the multi-slice spiral CTA which systematically and clearly demonstrates the pathological morphology of them, and provides reliable supports for the diagnosis,the treatment and the prognosis.
