64层螺旋CT对肺静脉异位引流的诊断价值

Diagnostic Value of MSCTA in Patients with Anomalous Pulmonary Venous Drainage

目的探讨64层螺旋CT血管造影(MSCTA)及三维重组在诊断肺静脉异位引流(anomalous pulmonaryvenous drainage,APVD)中的临床应用价值。资料与方法回顾性分析18例手术证实的APVD患儿的64层螺旋CT的影像资料。结果 18例中完全性APVD15例,其中心上型6例,心内型6例,心下型2例,混合型1例,部分性APVD3例。MSCTA诊断与手术结果一致。结论 MSCTA及三维重组对APVD诊断准确性高,是一种可靠的无创检查方法 。

Objective To study the value of 64-multislice CT angiography（MSCTA）and three-dimensional（3D）reconstructions in diagnosis of anomalous pulmonary venous drainage（APVD）in patients with congenital heart disease（CHD）.Materials and Methods We retrospectively reviewed 64 multislice spiral CT diagnosis of 18 patients with anomalous pulmonary venous drainage having undergone surgery.Results In all patients,15 cases were total anomalous pulmonary venous connections including 6 cases supracardia type,6 cases cardiac type,2 cases infracardia type and 1 case mixed type.3 cases were partial anomalous pulmonary venous drainage.The diagnosis of APVD with MSCTA was same with operation.Conclusion MSCTA is a good noninvasive diagnostic tool in preoperative evaluation and selecting operative modalities for APVD.