本文選題：先天性心臟病 + 體層攝影術(shù)��； 參考：《華中科技大學(xué)》2013年碩士論文

【摘要】：目的以手術(shù)或CAG結(jié)果為標(biāo)準(zhǔn)，比較DSCT心血管成像及TTE對(duì)復(fù)雜先天性心臟病的診斷及臨床應(yīng)用價(jià)值。資料及方法對(duì)我院2009年9月至2012年9月所收治的33例(其中男性23例，女性10例)CCHD的病例資料進(jìn)行回顧性分析，所有病例均行DSCT及TTE檢查，，其中18例經(jīng)手術(shù)證實(shí)，2例經(jīng)CAG證實(shí)。結(jié)果33例患者經(jīng)DSCT共檢出150處畸形，TTE共檢出126處。20例患者經(jīng)手術(shù)或CAG證實(shí)畸形共93處，DSCT及TTE分別檢出89、74處，診斷準(zhǔn)確率分別為95.7%、79.6%，兩者差異有統(tǒng)計(jì)學(xué)意義（χ~2=10.3，p＜0.05）。其中心內(nèi)畸形共27處， DSCT及TTE分別檢出26、27處，診斷準(zhǔn)確率分別為96.3%、100%，兩者差異無(wú)統(tǒng)計(jì)學(xué)意義（χ~2=0，p＞0.05）；心臟與大血管連接部分畸形共11處，DSCT及TTE分別檢出11、10處，診斷準(zhǔn)確率分別為100%、90.9%，兩者差異無(wú)統(tǒng)計(jì)學(xué)意義（χ~2=0，p＞0.05）；心外畸形共55處，DSCT及TTE分別檢出52、37處，診斷準(zhǔn)確率分別為94.5%、67.3%，兩者差異有統(tǒng)計(jì)學(xué)意義（χ~2=11.5，p＜0.05）。若將DSCT與TTE聯(lián)合應(yīng)用，則診斷準(zhǔn)確率可達(dá)97.8%。結(jié)論DSCT在診斷復(fù)雜先心病心外畸形方面較TTE更具優(yōu)勢(shì)，可作為其補(bǔ)充檢查手段。術(shù)前將兩者聯(lián)合應(yīng)用，可進(jìn)一步提高復(fù)雜先天性心臟病的診斷準(zhǔn)確率。
[Abstract]:Objective to compare the diagnostic and clinical value of DSCT and TTE in complex congenital heart disease with surgical or CAG results. Materials and methods the data of 33 cases (23 males and 10 females) admitted to our hospital from September 2009 to September 2012 were retrospectively analyzed. All cases were examined by DSCT and TTE, of which 18 cases were confirmed by CAG. Results one hundred and fifty deformities were detected by DSCT in 33 patients. Twenty patients were proved by operation or CAG to have 93 deformities. The diagnostic accuracy was 95.7% and 79.6%, respectively. The difference between them was statistically significant (蠂 ~ (2 +) 10.3 p < 0.05 ~ (5) P), and the diagnostic accuracy was 95.7% and 79.6% (蠂 ~ (2) 210.3 p < 0.05) respectively, and the accuracy of diagnosis was 99.7% and 79.6% respectively (蠂 ~ 2 / 10 ~ (-3) P < 0.05). There were 27 deformities in the center, 2627 in DSCT and 27 in TTE. The diagnostic accuracy was 96.3 and 100, respectively. There was no significant difference between the two groups (蠂 ~ 2 / 0 / 0, P > 0.05), and there were 11 cases of cardiac and large vascular junction malformations, 11 cases were detected by DSCT and TTE, respectively. The accuracy of diagnosis was 90.9 and there was no significant difference between the two groups (蠂 ~ 2, P > 0.05), and 55 cases of extracardiac malformation were detected by DSCT and TTE, respectively, and the diagnostic accuracy was 94.5% and 67.3%, respectively (蠂 ~ 2 11.5p < 0.05). If DSCT and TTE are combined, the diagnostic accuracy can reach 97.8%. Conclusion DSCT is superior to TTE in the diagnosis of complex congenital heart disease and can be used as a supplementary examination method. Preoperative combined application can further improve the diagnostic accuracy of complex congenital heart disease.
【學(xué)位授予單位】：華中科技大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R816.2;R541.1

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本文編號(hào)：1991631