CAJ | 학술논문

分析完全性肺静脉异位引流（TAPVC）术前多层螺旋CT（MSCT）资料，观察其影像学解剖类型，以提高对该病的诊断价值并为临床手术方式提供参考。16例 TAPVC 的影像学解剖分型结果显示：心上型8例，心内型3例，心下型2例，混合型3例，所有病例 CT 诊断与手术结果相符。MSCT结合其多种重建方法不仅能明确诊断肺静脉异位引流的部位和支数，还能直观判断肺静脉有无狭窄，明确 TAPVC 各型的具体引流位置，对于伴发的心脏大血管畸形也能准确诊断。
분석완전성폐정맥이위인류（TAPVC）술전다층라선CT（MSCT）자료，관찰기영상학해부류형，이제고대해병적진단개치병위림상수술방식제공삼고。16례 TAPVC 적영상학해부분형결과현시：심상형8례，심내형3례，심하형2례，혼합형3례，소유병례 CT 진단여수술결과상부。MSCT결합기다충중건방법불부능명학진단폐정맥이위인류적부위화지수，환능직관판단폐정맥유무협착，명학 TAPVC 각형적구체인류위치，대우반발적심장대혈관기형야능준학진단。
To analyze the preoperative data of total anomalous pulmonary venous connection(TAPVC)by MSCT, and to observe the imaging anatomical types. It has important value in improving diagnostic ability of MSCT for this disease and to provide the proper choice for clinical reference. The types of sixteen TAPVC were as followed:eight cases of supra-cardiac types,three cases of intra-cardiac types,two cases of infra-cardiac types,three cases of mixed types. CT findings of all cases matched their surgical results. MSCT combining with several post-processing techniques can be used to diagnose not only definite the location and count for anomalous pulmonary venous connec-tion but also intuitive judgment pulmonary vein whether stenosis or not. It plays an important role in the diagnosis of TAPVC.