MSCT诊断新生儿肺静脉异位引流的临床价值

The clinical value of MSCT in anomalous pulmonary venous connection of neonate

目的探讨多层螺旋CT(MSCT)在新生儿肺静脉异位引流中的应用价值。方法对15例肺静脉异位引流患儿进行MSCT扫描,并进行分型。结果 MSCT能很好显示肺静脉异位引流的引流途径、开口位置及并发畸形,确诊15例,诊断准确率100%,诊断伴发畸形准确率为86.7%。结论 MSCT(MPR、CPR、MIP、VR)重建图像所显示的肺静脉异位引流情况与术中所见一致,可作为新生儿肺静脉异位引流术前的重要检查手段。

Objective To evaluate the value for anomalous pulmonary venous connection （APVC） of neonate by MSCT. Methods 15 neonates of APVC were examined with MSCT. The types of APVC were determined. Results MSCT can reveal the way and positon of drainage and complicating deformity in APVC . 15 neonates with APVC were diagnosed by MSCT. The diagnostic accuracy was 100%. The diagnostic accuracy of malformation was 86. 7%. Conclusion The APVC determined on MSCT three dimensional images correlated well with the situdtion of operation. MSCT is an impor- tant preoperative examinations for APVC.