电子计算机断层扫描血管造影联合超声在法洛四联症先天血管畸形术前诊断中的应用价值

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Abstract Objective To explore the application value of computerized tomography (CT) angiography combined with cardiac ultrasound in the preoperative diagnosis of congenital vascular malformation of tetralogy of fallot (TOF). Methods A total of 80 children patients with confirmed TOF in Jiangxi Provincial Children′s Hospital between January 2018 and July 2020 were selected as the research object retrospectively, fcardiac ultrasound and 64 rows of spiral CT angiography, the application of multiple image postprocessing technology for image reconstruction, combined with cardiac ultrasound and clinical surgery results, and the value of CT angiography combined with cardiac ultrasound in the preoperative diagnosis of TOF congenital vascular malformations was evaluated. Results The sensitivity in the diagnosis of CT angiography combined with cardiac ultrasound were higher than that in the separate diagnosis of cardiac ultrasound and CT angiography, with statistical significant differeces (P＜0.05). And the accuracy in the diagnosis of CT angiography combined with cardiac ultrasound were higher than that in the separate diagnosis of cardiac ultrasound, with statistical significant differeces (P＜0.05). The three inspection methods were very consistent (Kappa=0.468, 0.451, 0.628).Conclusion CT angiography combined with cardiac ultrasound can provide accurate and reliable imaging basis for the clinic, reduce unnecessary traumatic examinations, and provide favorable support for the formulation of surgical plans.

Key words： Cardiac Tetralogy of fallot Computerized tomography Image reconstruction

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	Articles by authors
	ZHANG Zhen-hua
	WU Zhu-qiang
	DING Shan

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ZHANG Zhen-hua,WU Zhu-qiang,DING Shan. Application value of computerized tomography angiography combined with ultrasound in the preoperative diagnosis of congenital vascular malformation of tetralogy of fallot[J]. 中国当代医药, 2021, 28(34): 147-150.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I34/147

[1]	吴岩，申文凤，福林.超声心动图对法洛四联症的临床诊断分析[J].中国妇幼保健，2018，33（14）：3331-3333.
[2]	周文霞，钟雪梅，唐红，等.法洛四联症合并亚急性感染性心内膜炎的超声诊断分析[J].西部医学，2018，30（3）：431-433.
[3]	罗培，李成，王锦亮，等.超声监测与心血管造影在小儿先天性心脏病介入治疗中的指导作用[J].中国医药，2019，14（11）：1632-1635.
[4]	白文伟，刘小勇，朱敏.超声心动图联合256 排CT 心血管造影在法洛四联症诊断中的应用价值[J].实用临床医药杂志，2018，22（3）：96-98.
[5]	石兢恒，段庆红，廖桂英，等.320 排容积CT 血管造影对法洛四联症的诊断价值[J].医学影像学杂志，2018，28（10）：1651-1654，1658.
[6]	叶晓青，杨伟斌，陈健，等.16 排螺旋CT 在先天性心脏病患儿诊断及心功能评估中的临床应用[J].中国妇幼保健，2020，35（7）：1337-1339.
[7]	贾爰，罗启鹏，李轶楠，等.小儿法洛四联症根治术后急性肾损伤诊断标准的评价：pRIFLE 标准和KDIGO 标准[J].中华麻醉学杂志，2020，40（5）：533-537.
[8]	邓曦，蒋欢，蒋演，等.超声心动图不同切面诊断胎儿法洛四联症疾病谱的价值分析[J].临床超声医学杂志，2020，22（6）：466-468.
[9]	刘蕾，张建卿，刘珂，等.3D 打印技术与三维重建技术在诊断小儿法洛四联症中的应用价值分析[J].中西医结合心脑血管病杂志，2020，18（15）：2488-2491.
[10]	张静，何长林.超声心动图结合CT 对法洛四联症及其合并畸形诊断及术前评估的临床价值[J].中国CT 和MRI杂志，2019，17（9）：83-86.
[11]	陈思楷，周青，宋宏宁，等.多模态医学影像融合技术3D打印心脏模型方法学及精准度研究[J].中华超声影像学杂志，2018，27（11）：924-930.
[12]	宋孟孟，王运来，黄祥，等.肺部肿瘤基于最大密度投影图像和四维CT 勾画的内靶区差异性分析[J].中国医学物理学杂志，2018，35（2）：135-140.
[13]	顾冰，张鹏，连蕊，等.256 排螺旋CT 后处理容积再现技术在冠心病诊断中的应用价值分析[J].中国CT 和MRI杂志，2019，17（5）：76-78，封 4.
[14]	高卫华，赵黎，蔡琴，等.超声心动图联合 64 排 CT 心血管造影在法洛四联症诊断中的应用研究 [J].CT 理论与应用研究，2015，24（4）：621-628.
[15]	他林昆，黄燕玲，陆永萍.超声心动图诊断胎儿法洛四联症的价值[J].昆明医科大学学报，2021，42（1）：142-146.