多层螺旋CT与超声心动图在合并大血管畸形先天性心脏病诊断中的应用价值

The Application value of Multi-slice Spiral CT and Echocardiography in the Diagnosis of Congenital heart Disease with Large Ascular Malformation

目的探讨多层螺旋CT与超声心动图在合并大血管畸形先天性心脏病诊断中的应用价值。方法抽取2012年1月至2014年12月山东省济宁医学院附属医院收治的临床确诊合并大血管畸形先天性心脏病患者资料41例,对其分别展开多层螺旋CT与超声心动图检查,对两种检查结果进行比较分析。结果本组41例患者中,证实为法洛四联征者20例,内脏心房异位综合征者7例,血管环者4例,先天性主动脉狭窄者10例。41例患者经多层螺旋CT检查全部得到确诊,诊断率为100.0%,经超声心动图检查确诊30例,诊断率为73.2%,可见多层螺旋CT诊断率较超声心动图检查结果高,差异有统计学意义(P<0.05)。结论在合并大血管畸形先天性心脏病诊断中,多层螺旋CT诊断率较超声心动图检查明显升高。

Objective To explore the application value of multi-slice spiral CT and echocardiography in the diagnosis of congenital heart disease with large vascular malformations.Methods Large vascular malformation complicated congenital heart disease patients 41 cases with extraction in January 2012 to 2014 December Shandong Province Jining Medical College Affiliated Hospital were clinically diagnosed,the were launched multi-slice spiral CT and ultrasound echocardiography,the results of a comparative analysis of the two kinds of inspection.Results The group of 41 patients confirmed 20 cases of tetralogy of Fallot,syndrome in 7 cases the visceroatrial heterotaxy syndrome, vascular ring（4 cases）,congenital aortic stenosis in 10 cases.41 patients with multi-slice spiral CT examination all confirmed diagnosis rate was 100.0%,by echocardiography confirmed 30 cases,diagnosis rate was 73.2%,visible of multi-slice spiral CT in the diagnosis rate is supersonic and enchanted graph examination high,the difference is statistically significant（P〈0.05）.Conclusion In the diagnosis of congenital heart disease with large vascular malformations,the diagnostic rate of multi-slice spiral CT was significantly higher than that of the echocardiography.