多层螺旋CT对法洛四联症及其伴发畸形的诊断.pdfVIP

中国医学影像技术2008年第24卷第6期 Chin J Med Imaging! ! ! ! ·873· ◆◆◆心血管影像学 Diagnostic study of multi—slice spiral CT in tetralogy of Fallot and its accompanying malformation LIUJun ，WANG Rong-pin ，YAN Xin—zhi ，WANG Nan—zhu ，PAN Yu (1．Department of Cardiac Surgery，2．Department of Radiology，C-uizhou Provincial People’S Hospital，Guiyang 550002，Ghina) [-Abstract] Objective To explore the value of three-dimensional reformated technique with contrast enhancement of multi— slice spiral CT (MSCT)for the diagnosis of tetralogy of Fallot(T0F)and it’S accompanying malformation．Methods The MSCT data of 23 patients confirmed by surgery were retrospectively analyzed，and all the patients were compared with tran— sthoracic echocardiograms(TTE)before surgery．Results The accuracy of MSCT and TTE in diagnosis of the four‘basic realformation in TOF was 97．8 ，and 94．6 ．On the other hand，in detecting the branches of pulmonary artery and the ac— companying malformation，the accuracy of MSCT and TTE was 95．2 (20／21)，and 23．8 (5／21)，respectively．Conelu- sion MSCT may be used to clearely display the pathologic anatomy of TOF，which is superior to TTE remarkably in the di— agnosis of the branches of pulmonary artery and the accompanying malformation．Therefore，as a non-invading technique， MSCT can provide essentia1 evidence in guiding surgica1 operation and evaluating prognosis． EKey words] Heart defects，congenital；Tetralogy of Fallot；Tomography，X-ray computed；Echocardiography 多层螺旋CT对法洛四联症及其伴发畸形的诊断 刘 军 ，王荣品 ，阎兴治 ，王楠竹 ，潘 渝 (1．贵州省人民医院心外科，2．放射科，贵州 贵阳 550002) [摘 要] 目的 探讨多层螺旋cT(MscT)增强扫描心脏、血管成像技术对法洛四联症(T0F)及其伴发畸形的诊断价值。 方法 分析23例经手术证实的TOF的 MSCT资料，并与经胸心脏