心血管造影在儿童复杂性先天性心脏病诊断中的应用

Angiocardiographic diagnosis of the complicated congenital heart disease in child

目的:探讨心血管造影(ACG)在先天性心脏病复杂畸形中的应用价值。方法:分析20例先天性心脏病复杂畸形造影所见及其与超声心动图(TTE)等临床检查的比较。结果:20例各种类型复杂先天性心脏病ACG和TTE对比中纠正后者误诊、漏诊各1例,证实其可疑诊断3例,纠正其分型错误3例及对合并畸形误诊及漏诊分别为6例、7例。结论:ACG对先天性心脏病复杂畸形中体肺侧支血管、冠状动脉畸形及主动脉畸形、肺静脉异位引流、动脉导管未闭的分型等诊断优于TTE,并可测量肺动、静脉压力、心腔压力优于其它影像学检查方法。对于先天性心脏病复杂畸形的疑难病例的诊断和鉴别诊断,ACG仍有重要或不可替代作用。

Objective： Discussing the applied value of angiocardiography in the complicated congenital heart disease（CCHD） in child.Methods： The angiocardiographic data of 20 patients with CCHD were retrospectively analyzed.The relation of angiocardiography and echocardiography were compared.Results： In 20 cases with CCHD,compare angiocardiography and echocardiography,correcting latter 1 case of false positive diagnosis and 1 case of false negative diagnosis,confirming 3 cases of distrustful diagnosis,correcting 3 cases of divisiory mistake.There are 13 cases with catface;Six of them are false positive diagnosis,and seven of them are false negative diagnosis.Conclusions： Diagnosing the complicated catface of body-pulmonary collateral vessels,coronary artery catface,aortic catface,anomalous pulmonary venous connects and patent ductus arteriosus,angiocardiography is better than echocardiography.At the same time,it can measure pulmonary arterial tension,pulmonary venous tension and endocardiac tension.It is better than other ways of imaging examine.In the difficult diagnosis and distinguish diagnosis of CCHD,angiocardiography has important or non-replaced effect.