多层螺旋计算机断层扫描（CT）在先天性青紫型心脏病评估中的应用

Multidetector Computed Tomography (CT) in Evaluation of Congenital Cyanotic Heart Diseases.

作者信息

Enaba Moanes M, Hasan Doaa I, Alsowey Ahmed M, Elsayed Hany

机构信息

Department of Radiodiagnosis, Zagazig University, Zagazig, Egypt.

Department of Pediatrics, Zagazig University, Zagazig, Egypt.

出版信息

Pol J Radiol. 2017 Nov 17;82:645-659. doi: 10.12659/PJR.903222. eCollection 2017.

BACKGROUND

The aim of the study is to emphasize the role of 128 MSCT angiography in the diagnosis of congenital cyanotic heart diseases.

MATERIAL/METHODS: This study included sixty patients and was conducted from December 2014 to July 2016 in the Multidetector CT unit of Zagazig University hospitals. All images included axial, MPR, MIP, and VRT and were interpreted in one session. Pulmonary veins were assessed for PAPVR or TAPVR, PDA, cardiac apex and heart chambers, interatrial or interventricular septal defects, pericardium, and site and size of the great veins (IVC and SVC).

RESULTS

This study included 60 patients. Thirty-four were boys (56.7%), and 26 were girls (43.3%). The age ranged from nine months to five years, and the mean age was 34.5 months. We found the following anomalies: tetralogy of Fallot (15 patients, 25%), tricuspid atresia (12 patients, 20%), Ebstein's anomaly (4 patients, 6.5%), pulmonic atresia or stenosis (7 patients, 11.5%), truncus arteriosus (6 patients, 10%), TGA (10 patients, 17%), and TAPVR (6 patients, 10%).

CONCLUSIONS

MDCT proved to be an important modality for decision-making in patients with congenital cyanotic heart diseases.

背景

本研究的目的是强调128层螺旋CT血管造影在先天性青紫型心脏病诊断中的作用。

材料/方法：本研究纳入60例患者，于2014年12月至2016年7月在扎加齐格大学医院的多排CT室进行。所有图像包括轴位、多平面重建（MPR）、最大密度投影（MIP）和容积再现技术（VRT），并在一次阅片中进行解读。评估肺静脉有无部分性肺静脉异位引流（PAPVR）或完全性肺静脉异位引流（TAPVR）、动脉导管未闭（PDA）、心尖和心腔、房间隔或室间隔缺损、心包以及大静脉（下腔静脉和上腔静脉）的位置和大小。

结果

本研究包括60例患者。34例为男性（56.7%），26例为女性（43.3%）。年龄范围为9个月至5岁，平均年龄为34.5个月。我们发现了以下异常情况：法洛四联症（15例，25%）、三尖瓣闭锁（12例，20%）、埃布斯坦畸形（4例，6.5%）、肺动脉闭锁或狭窄（7例，11.5%）、永存动脉干（6例，10%）、大动脉转位（TGA，10例，17%）和完全性肺静脉异位引流（6例，10%）。