我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

多层螺旋CT和经胸超声心动图诊断法洛四联症并发畸形的价值比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第1期
页码:
90-92
栏目:
临床研究
出版日期:
2012-02-25

文章信息/Info

Title:
Clinical significance of multislice spiral computed tomography in diagnosis and therapy of tetralogy of Fallot
作者:
王建堂; 马增山; 马胜军; 董铭峰; 柴守栋; 唐培哲
(聊城市人民医院心外科，山东 聊城 252000)
Author(s):
WANG Jian-tang;  MA Zeng-shan;  MA Sheng-jun;  DONG Ming-feng;  CHAI Shou-dong;  TANG Pei-zhe
(Department of Cardiovascular Surgery, Liaocheng People’s Hospital, Liaocheng 252000, Shandong, China)
关键词:
法洛四联症; 多层螺旋CT; 超声心动图
Keywords:
tetralogy of Fallot;  multislice spiral CT;  echocardiography
分类号:
R541.1;R445.3;R445.1
DOI:
-
文献标识码:
A
摘要:
目的:比较多层螺旋CT（multislice spiral CT，MSCT）和经胸超声心动图（transthoracic echocardiography，TTE）在法洛四联症（tetralogy of Fallot，TOF）并发畸形的诊断价值。方法： 138例诊断TOF的患者术前均行MSCT及TTE检查，以术后诊断结果为金标准，利用四格表法计算MSCT与TTE诊断TOF并发畸形的真实性评价指标，并加以比较。结果： MSCT与TTE均能对TOF做出明确诊断，但对并发畸形的诊断MSCT的灵敏度、特异度和准确度均显著优于TTE(分别为 88% vs. 74%,P＜0.05;95% vs. 81%,P＜0.05;90% vs. 76%,P＜0.01)。结论： MSCT对TOF并发畸形诊断的真实性优于TEE。
Abstract:
AIM:To evaluate the role of multislice spiral computed tomography (MSCT) in the diagnosis and therapy of tetralogy of Fallot (TOF). METHODS: A cohort of 138 TOF patients was enrolled in the study. Before surgery, each patient underwent MSCT and transthoracic echocardiography (TTE). Results were compared with postsurgical diagnosis, and diagnostic accuracy of MSCT and TTE were assessed. RESULTS: Both MSCT and TTE made definitive diagnoses of TOF. However, diagnostic accuracy of MSCT and TTE in the merger deformities with TOF was 88% and 74%, respectively. MSCT was superior to TTE in detecting merger deformities of TOF (χ2＝4.821, P=0.0281). CONCLUSION: MSCT is a reliable technique for diagnosis of TOF, with higher accuracy especially in TOF patients with merger deformities. MSCT provides an important basis for operative procedure and prognosis for TOF patients with.

参考文献/References

[1]Apitz C,Webb GD, Redington AN. Tetralogy of Fallot[J].Lancet,2009,374(9699):1462-1471.

[2]汪曾炜,刘维永,张宝仁.心脏外科学[M].北京;人民军医出版社,2003:878-887.

[3]朱鲜阳,王淑范,张玉威,等.影响法洛四联症患者存活的因素[J].心脏杂志,2004,16(4): 359-361.

[4]Chan FP. MR and CT imaging of the pediatric patient with structural heart disease[J].Semin Thorac Cardiovasc Surg,2009,12(1): 99-105.

[5]Pedra CA,Fleishman C,Pedra SF,et al.New imaging modalities in the catheterization laboratory[J].Curr Opin Cardiol,2011,26(2):86-93.

[6]Puranik R,Muthurangu V,Celermajer DS,et al.Congenital heart disease and multi-modality imaging[J].Heart Lung Circ,2010,19(3):133-144.

[7]Dillman JR,Hernandez RJ.Role of CT in the evaluation of congenital cardiovascular disease in children[J].Am J Roentgenol,2009, 192(5):1219-1231.

[8] Wilson GT, Gopalakrishnan P, Tak T. Noninvasive cardiac imaging with computed tomography[J].Clin Med Res,2007,5(3):165-171.

[9]Tanna OR,Muthurangua V,Youngb C, et al.Cardiovascular CT imaging in congenital heart disease[J].Prog Pediatr Cardiol,2010,28(1-2):21-27.

[10]Mathewsona JW. Three dimensional imaging using 64 detector row multi-slice CT should be used more widely for the diagnosis and management of congenital heart disease[J].J Saudi Heart Association,2010, 22(4):179-185.

[11]Long YG,Yang YY,Huang IL,et al.Role of multi-slice and three-dimensional computed tomography in delineating extracardiac vascular abnormalities in neonates[J].Pediatr Neonatol,2010,51(4):227-234.

备注/Memo

备注/Memo:
收稿日期: 2011-05-12.通讯作者：马增山，主任医师，主要从事心血管疾病临床研究 Email：mazengshan@126.com 作者简介：王建堂，副主任医师，硕士 Email:wangjiantang@hotmail.com
更新日期/Last Update: 2012-02-14