多层螺旋CT 诊断完全型肺静脉异位引流.pdf

null#a5MultinullslicespiralcomputedtomographyindiagnosisoftotalanomalouspulmonaryvenousconnectionWANGRongnullfeng1,CHENZhengnullguang2*,BAIYan1,LILin1,YANGYi1(1.DepartmentofRadiology,FirstHospitalofTsinghuaUniversity,Beijing100016,China；2.DepartmentofRadiology,DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine,Beijing100700,China)AbstractnullObjectivenullToassessthevalueofmultinullslicespiralcomputedtomography(MSCT)inthediagnosisoftotalanullnomalouspulmonaryvenousconnection(TAPVC).MethodsnullMSCTenhancedimagesandimagesofmultinullplanarreformanulltion,curvedplanarreformation,maximumintensityprojection,volumerenderingof25TAPVCpatientsconfirmedbysurnullgerywereanalyzed.ResultsnullAllpatientswerediagnosedcorrectlywithMSCT.Thediagnosticaccuracywas100%.Allpanulltientscombinedwithatrialmalformations,thediagnosticaccuracyofatrialseptaldefectandventricularseptaldefectwithMSCTwas83.33%(15/18)and81null82%(9/11),respectively.Othercombinedmalformationssuchassinglenullatrial,singleventricle,transpositionofgreatarteries,doubleoutletrightventricle,patentductusarteriosus,rightatrialisomerism,trinullcuspidatresia,subpulmonarystenosis,pulmonaryatresia,dysplasiaofaorticarchandpulmonaryhypertensionwerediagnullnosedcorrectlywithMSCTinaccordancewithsurgicalfindings.ConclusionnullAsanonnullinvasiveexaminationmethod,MSCThashighvalueindiagnosingTPAVCandcombinedmalformations.KeywordsnullTomography,Xnullraycomputed；Congenitalheartdisease；TotalanomalouspulmonaryvenousconnectionTe(1972null),3,Cy,S,D=bZ_:5bEnullmail:YT；,D0vDbS,100700bEnullmail:l2010null05null20nullnull2010null08null21CTks王荣峰1,陈正光2*,白null燕1,李null林1,杨null毅1(1.bvBDbS,null100016；2.D0vDbS,null100700)Knull1nullnull)CT(MSCT)ks(TAPVC)bZEnulls25mLTAPVCMSCT9asaUak/.Naka?#k,MSCTmTbnullMSCTTAPVC#i1Nb1oMnull8,XL9；5?#h；ksms|nullR814null42；R541null1nullDSMnullAnullnullcI|null1003null3289(2010)11null2087null04nullnullks(totalanomalouspulmonaryvenullnousconnection,TAPVC)kP,7M8W,Bn,5?#h,5?#h1%3%1null2,5yl7%hbikE7?k,75%90%1=3,yNh*#*md1b2maH5(magneticresonanceangiography,MRA)#3h5/(digitalsubtractionangiography,DSA)TAPVCbM,CT(multinullslicespiralcomputedtomography,MSCT)5%hZd7TAPVC4V?b)MSCTTAPVCNb1nullZE1null1Bnulll2007M5null2010M3mLks25,316,o9,M-244,M-8null4b5VC:$23,25,-ul#%p20b2087SD/2010M2611nullChinJMedImagingTechnol,2010,Vol26,No111null2ZEm)1null2null1CTZEnull14PGELightSpeed16CTNADW4null2T_,11PPhilips64CTNEBWT_b?-,；?Po,/bSVg/2cmbPA370(2ml/kg8),KvV100ml,0null1mlkgsnull14,14M520ml3,9vbGELightSpeed16CTN:0null5s/rot,8sY80kVa100kVa120kV；50200mA,deb0null625mm,yW0null625mm,1null75!1,14,2sb|m.ADW4null2T_bPhilips64CTN:0null4s/rot,8sY80kVa120kV；50200mAs,deb0null67mm,yW0null67mm,1null94!1,/14,150HU,H912s,|m.EBWT_b1null2null2CTyZEnullsYT_Py(multinullplanarreformation,MPR)awy(curvedplanarreformanulltion,CPR)aKvg(maximumintensityprojection,MIP)aC(volumerendering,VR)my,hMAUb#bD=s,inBH),Bb2nullTMSCTTAPVC25,18,4kB,PP815(m1a2),83(m3a4)bVRmV4AUk#Eb=6,kYV32,4(m5a6)b/1,kYV(patentducnulltusarteriosus,PDA)asaUak/.Naka?#kbV1null25TAPVCMSCTVCmTv()hMMSCTmTks2525W(ASD)1518(SA)77iW(VSD)911i(SV)77v(TGA)1010ig(DROV)665(PDA)86s()88U11k/.N88k11?11k12123null)TAPVC?Sk?k9M,k8,/ksbDarlingk#8|TAPVCs5:(F18):kYVP8(F15),8(F3)；#=(F6):kYV3(F2),(F4)；/:kYV_/,a5a/8(F1)；%(F):ksYYVo,(a=a/)bTAPVCk,PALW,TAPVCBW,?3ib6,TAPVCis#n,N3n(F8(3)b,Pk,?MPi&V,#ai#k(f,ikbPaPi#l,F1?bkE%1$m1o,ksE5g.Ns2,75,E?3q,k=,k,5C,1$m,#E11b2?_,22_,PZLaN,j7l,sO,sCk=8,sk4S#,CP,Ok44mb5/B$TAPVCS,Ni=,14ikk,k=iX,F,44b#,P,7O/7_,B84sbMR_,_HW,?1HW,F(sMR_bMSCTy,_HW,14l,v)?,?AUkbMPR=m,Viy,V4k#kzbCPRBwy,?|waBkyBAU,O?|w,#,458=bMIPBAUKvg,YV141,?5BAU,45,?k5AUb#bVRBC/,?YV8a,1AU8CbVR?4AU#v58,ko?8AU,LHAUivl#1,Vi,sO1il,?AU9bYVgMk4,b#AU,5D3m4bMSCT?b#AUko,EbF5E,$mrTz6b,1(?,iO|2QM,h8#,vv4TAPVC7qb64CTHWsObWsOv4,Inqy#b4y,(Pe,vv4a9vS,?iAUk5b6,-MSCTv)q,MPRaCPRaMIPaVR,?b#AU#v5#17null9bPyZE4,mL,FMSCTTAPVCq100%10null11bMSCTTAPVCBya7a_ZE,764(64)CT9,MSCTw+,.CTE#?.SD/,2008,24(6):873null876.(磁共振成像临床应用入门)已出版nullnull(H5)B=qI,!afqI,viq,S20HE,HMI