首页> 中文期刊> 《中国全科医学》 >数字化X线摄影在先天性心脏病诊断中的应用价值

数字化X线摄影在先天性心脏病诊断中的应用价值

摘要

Objective To explore the value of digital X - ray photography in diagnosing congenital heart disease. Methods Clinical and imaging data of 97 cases of suhsequently confirmed congenital heart disease with positive digital X -ray manifestations from our hospital from January 1st to October 31st 2009 were collected and analyzed retrospectively. Results Of the 97 cases, 46 ( 47.4% ) were atrioseptal defection, 17 ( 17.5% ) were cases of patent ductus arteriosus, 13 ( 13.4% )suffered interventricular septal defection, 5 ( 5.2% ) were cases of Tetralogy of Fallot, 3 ( 3.1% ) were subvalvular pulmonic stenosis cases, 4 ( 4.1% ) were cases of cardianastrophe by mirror plane, 7 ( 7.2% ) suffered right sided aortic arch and the other 2 ( 2.1% ) showed complicated deformity. These cases shared the X - ray manifestations of increased or decreased pulmonary blood flow as well as an abnormal heart shadow. Conclusion Digital X - ray photography is a simple, safe, shortcut technique with few contraindications and a complete view of both the heart and the lungs. It is also important in the postoperative follow-up and still provide unique and valuable information for the diagnosis of congenital heart disease till now.%目的 探讨数字化X线摄影在先天性心脏病诊断中的应用价值.方法 收集我院2009-01-01-10-31经数字化X线摄影检查阳性并经临床随访或手术证实的先天性心脏病患者97例,对其临床及影像学资料进行回顾性分析.结果 97例患者中,房间隔缺损46例(47.4%),动脉导管未闭17例(17.5%),室间隔缺损13例(13.4%),法洛四联症5例(5.2%),肺动脉瓣狭窄3例(3.1%),镜面右位心4例(4.1%),右位主动脉弓7例(7.2%),其他复杂畸形2例(2.1%).X线表现为:肺血增多、肺血减少及心影形态失常.结论 数字化X线摄影准备简单、安全、快捷,禁忌证少,整体感强,同时还是术后随访的重要检查手段,目前仍然能够为先天性心脏病的诊断提供独特和有价值的信息.

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