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超声心动图与 64 层螺旋 CT 诊断小儿先天性心脏病的比较。

Comparison of echocardiography and 64-slice spiral computed tomography in the diagnosis of congenital heart disease in children.

机构信息

The First Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang, China.

出版信息

J Cell Biochem. 2019 Mar;120(3):3969-3977. doi: 10.1002/jcb.27682. Epub 2018 Oct 15.

Abstract

The diagnosis of congenital heart disease in children has been an issue in the medical community. Timely diagnosis and treatment can provide a greater guarantee for children's healthy growth. In recent years, there have been more and more studies on the diagnosis of congenital heart disease in children. This paper compares the advantages and disadvantages of echocardiography and 64-slice spiral computed tomography (CT) in the diagnosis of congenital heart disease in children. In clinical trials, we also tested 64 patients with spiral computed tomography (SCT) and transthoracic echocardiography (TTE) detection of patients and then confirmed the accuracy of the diagnosis by the surgical methods. The two methods of detection, the rate of missed diagnosis, and the rate of misdiagnosis were counted. Through the test results and pathological diagnosis results, the diagnostic accuracy of the two methods were all above 90%, each with its own advantages and disadvantages. The sensitivity of echocardiographic in detecting intracardiac structure abnormalities was relatively high, but when the diagnosis of extracardiac structural abnormalities less than 64-slice spiral CT method, misdiagnosis of TTE was mainly due to extracardiac vascular malformations. Therefore, it is recommended to combine the two methods to improve the diagnosis of congenital heart disease in children.

摘要

儿童先天性心脏病的诊断一直是医学界关注的问题。及时的诊断和治疗可以为儿童的健康成长提供更大的保障。近年来,越来越多的研究关注儿童先天性心脏病的诊断。本文比较了超声心动图和 64 层螺旋 CT(CT)在儿童先天性心脏病诊断中的优缺点。在临床试验中,我们还对 64 例经螺旋 CT(SCT)和经胸超声心动图(TTE)检测的患者进行了检测,然后通过手术方法确认诊断的准确性。统计了两种检测方法的漏诊率和误诊率。通过测试结果和病理诊断结果,两种方法的诊断准确率均在 90%以上,各有优缺点。超声心动图检测心内结构异常的敏感性相对较高,但当诊断心外结构异常时,其敏感性不如 64 层螺旋 CT 方法,TTE 的主要误诊原因是心外血管畸形。因此,建议将两种方法相结合,以提高儿童先天性心脏病的诊断水平。

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