Article Summary
李猛 甘甜 孙凯 △ 宋秀荣 乌日娜.复杂型先天性心脏病诊断:低剂量大螺距双源CT 成像与超声心动图的对比研究[J].现代生物医学进展英文版,2016,16(2):305-308.
复杂型先天性心脏病诊断:低剂量大螺距双源CT 成像与超声心动图的对比研究
Diagnostic Value for Complex Congenital Heart Disease: the ComparativeStudy of Low Doses of Large Pitch Dual-Source CT Imaging andEchocardiography
  
DOI:
中文关键词: 先天性心脏病  双源计算机断层扫描技术  低剂量  大螺距  超声心动图
英文关键词: Congenital heart desease  Dual-source computed tomography  Low dose  High pitch  Echocardiography
基金项目:内蒙古自然科学基金项目(2012MS1101)
Author NameAffiliation
李猛 甘甜 孙凯 △ 宋秀荣 乌日娜 包头市中心医院心内科包头市包钢医院影像科包头市中心医院影像科 
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中文摘要:
      目的:探讨和比较双源CT 和超声心动图对于复杂型先天性心脏病的诊断价值。方法:入选先心病患者47 例,均使用SOMA TOMFlash CT 扫描仪和超声心动图行心血管检查。所有入选患者均由外科手术或心血管造影证实。比较双源CT 与超声心动图 的诊断准确率。结果:经手术或心血管造影证实心内结构异常共38 处,双源CT 诊断34 处,诊断准确率89.47%,超声心动图诊断 37 处,诊断准确率97.37%。两种方法比较无统计学差异;证实心外结构异常69处,双源CT 诊断66 处,诊断准确率95.65%,超声 心电图诊断56 处,诊断准确率85.51%,双源CT 诊断准确率高于超声心动图(X2=7.07, P=0.008)。结论:双源CT 诊断心外结构异 常的诊断准确率高于超声心动图,两者结合有利于全面、准确的诊断复杂型先天性心脏病。
英文摘要:
      Objective:To explore the clinical value of dual source CT in diagnosis of congenital heart diseases. Methods: 47 patients with suspected congenital heart disease underwent contrast enhanced dual source CT.Methods:All 47 patients underwent echocardiography, all of them were confirmed by surgical operations or X- ray angiography.Results:In 38 intra- cardiac deformities, definite diagnostic rates of dual source CT and echocardiography were 89.47% and 97.37%, and dual source CT was as accurate as echocardiography in revealing intracardiac deformities ( P= 0.358). In 69 extracardiac anomalies, definite diagnostic rates of dual source CT and echocardiography were 95.65% and 85.51%, and dual source CT was superior to echocardiography in identifying extracardiac anomalies ( X2= 7.07, P = 0. 008).Conclusion:Dual source CT is superior to echocardiography in identifying extra- cardiac anomalies. Their combination can improve definite diagnostic rate for congenital heart disease.
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