中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
8期
554-558
,共5页
梁宏伟%张金玲%赵德利%张极峰%刘白鹭
樑宏偉%張金玲%趙德利%張極峰%劉白鷺
량굉위%장금령%조덕리%장겁봉%류백로
心脏缺损,先天性%体层摄影术,螺旋计算机%儿童
心髒缺損,先天性%體層攝影術,螺鏇計算機%兒童
심장결손,선천성%체층섭영술,라선계산궤%인동
Heart defects,congenital%Tomography,spiral computed%Child
目的 分析多层螺旋CT在小儿心外大血管畸形中的应用价值.方法 对比分析超声心动图和多层螺旋CT对110例经手术证实为先天性心脏病患儿的诊断情况,按先天性心脏病部位分为三种:心脏、心脏-大血管连接和心外大血管.结果 110例先天性心脏病患儿共计366处畸形,超声心动图诊断的准确率为90.7％(332/366),多层螺旋CT为95.6％(350/366),两者比较差异无统计学意义(x2=3.284,P=0.070).366处畸形中,心脏部位160处,超声心动图诊断的准确率为98.1％(157/160),多层螺旋CT为97.5％(156/160),两者比较差异无统计学意义(x2=0.776,P=0.378).心脏-大血管连接部位55处,超声心动图诊断的准确率为94.5％(52/55),多层螺旋CT为100.0％(55/55),两者比较差异无统计学意义(x2=3.083,P=0.243).心外大血管部位151处,超声心动图诊断的准确率为81.5％(123/151),多层螺旋CT诊断为92.1％(139/151),两者比较差异有统计学意义(x2=7.377,P=0.01).结论 多层螺旋CT在先天性心脏病的诊断中有其应用价值,尤其在心外大血管畸形方面优于超声心动图.
目的 分析多層螺鏇CT在小兒心外大血管畸形中的應用價值.方法 對比分析超聲心動圖和多層螺鏇CT對110例經手術證實為先天性心髒病患兒的診斷情況,按先天性心髒病部位分為三種:心髒、心髒-大血管連接和心外大血管.結果 110例先天性心髒病患兒共計366處畸形,超聲心動圖診斷的準確率為90.7％(332/366),多層螺鏇CT為95.6％(350/366),兩者比較差異無統計學意義(x2=3.284,P=0.070).366處畸形中,心髒部位160處,超聲心動圖診斷的準確率為98.1％(157/160),多層螺鏇CT為97.5％(156/160),兩者比較差異無統計學意義(x2=0.776,P=0.378).心髒-大血管連接部位55處,超聲心動圖診斷的準確率為94.5％(52/55),多層螺鏇CT為100.0％(55/55),兩者比較差異無統計學意義(x2=3.083,P=0.243).心外大血管部位151處,超聲心動圖診斷的準確率為81.5％(123/151),多層螺鏇CT診斷為92.1％(139/151),兩者比較差異有統計學意義(x2=7.377,P=0.01).結論 多層螺鏇CT在先天性心髒病的診斷中有其應用價值,尤其在心外大血管畸形方麵優于超聲心動圖.
목적 분석다층라선CT재소인심외대혈관기형중적응용개치.방법 대비분석초성심동도화다층라선CT대110례경수술증실위선천성심장병환인적진단정황,안선천성심장병부위분위삼충:심장、심장-대혈관련접화심외대혈관.결과 110례선천성심장병환인공계366처기형,초성심동도진단적준학솔위90.7％(332/366),다층라선CT위95.6％(350/366),량자비교차이무통계학의의(x2=3.284,P=0.070).366처기형중,심장부위160처,초성심동도진단적준학솔위98.1％(157/160),다층라선CT위97.5％(156/160),량자비교차이무통계학의의(x2=0.776,P=0.378).심장-대혈관련접부위55처,초성심동도진단적준학솔위94.5％(52/55),다층라선CT위100.0％(55/55),량자비교차이무통계학의의(x2=3.083,P=0.243).심외대혈관부위151처,초성심동도진단적준학솔위81.5％(123/151),다층라선CT진단위92.1％(139/151),량자비교차이유통계학의의(x2=7.377,P=0.01).결론 다층라선CT재선천성심장병적진단중유기응용개치,우기재심외대혈관기형방면우우초성심동도.
Objective To analyze the application value of multislice spiral CT in diagnosis of children malformation of large blood vessels outside the heart.Methods The diagnosis results were compared between echocardiography and multislice spiral CT in 110 children with congenital heart disease,and the children had been confirmed by operation.Congenital heart disease was divided three kinds according to the region:heart,connections between heart and large blood vessels and large blood vessels outside the heart.Results One hundred and ten children with congenital heart disease were selected,and they had 366 malformations.The accuracy rates of echocardiography and multislice spiral CT were 90.7％ (332/366) and 95.6％ (350/366) respectively,and there was no statistical difference (x2 =3.284,P =0.070).In 366 malformations,160 malformations were in heart region.The accuracy rates of echocardiography and multislice spiral CT were 98.1％ (157/160) and 97.5％ (156/160) respectively,and there was no statistical difference (x2 =0.776,P =0.378).There were 55 malformations in connections between heart and large blood vessels.The accuracy rates of echocardiography and multislice spiral CT were 94.5％ (52/55) and 100.0％ (55/55) respectively,and there was no statistical difference (x2 =3.083,P =0.243).There were 151 malformations in large blood vessels outside the heart.The accuracy rates of echocardiography and multislice spiral CT were 81.5％(123/151) and 92.1％ (139/151) respectively,and there was statistical difference (x2 =7.377,P =0.01).Conclusion Multisltce spiral CT has great application value in diagnosis of children congenital heart disease,especially in malformation of large blood vessels outside the heart.
