[1]罗元臣,张英,骆周展,等.MSCT联合彩超诊断儿童先天性心脏病的价值[J].中国医学物理学杂志,2020,37(12):1544-1548.[doi:DOI:10.3969/j.issn.1005-202X.2020.12.014]
　LUO Yuanchen,ZHANG Ying,LUO Zhouzhan,et al.The value of MSCT combined with color Doppler ultrasound in the diagnosis of childrens congenital heart disease[J].Chinese Journal of Medical Physics,2020,37(12):1544-1548.[doi:DOI:10.3969/j.issn.1005-202X.2020.12.014]
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MSCT联合彩超诊断儿童先天性心脏病的价值()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
37
期数:
2020年第12期
页码:
1544-1548
栏目:
医学影像物理
出版日期:
2020-12-30

文章信息/Info

Title:
The value of MSCT combined with color Doppler ultrasound in the diagnosis of childrens congenital heart disease
文章编号:
1005-202X（2020）12-1544-05
作者:
罗元臣; 张英; 骆周展; 黄静怡
长沙市第一医院超声科， 湖南 长沙 410006
Author(s):
LUO Yuanchen;  ZHANG Ying;  LUO Zhouzhan;  HUANG Jingyi
Department of Ultrasound, the First Hospital of Changsha, Changsha 410006, China
关键词:
多层螺旋电子计算机断层扫描; 彩色超声; 先天性心脏病; 儿童
Keywords:
Keywords: multi-slice computed tomography color Doppler ultrasound congenital heart disease children
分类号:
R725.4；R816.2
DOI:
DOI:10.3969/j.issn.1005-202X.2020.12.014
文献标志码:
A
摘要:
目的：研究多层螺旋电子计算机断层扫描（MSCT）联合彩超诊断儿童先天性心脏病（CHD）的价值。方法：选取85例CHD患儿，根据不同诊断方法将其分为彩超组、MSCT组和联合组。所有患儿均接受彩超和MSCT检查，将手术病理结果作为金标准。比较不同诊断方法对儿童CHD的检出率和符合率。观察彩超、MSCT检查中CHD图像特征，受试者工作特征（ROC）曲线评价各检查方法对儿童CHD的诊断价值。结果：与MSCT组比较，彩超组诊断继发孔房间隔缺损的符合率显著升高；与彩超组比较，MSCT组诊断动脉导管未关闭、复杂性CHD的检出率和法洛四联症、室间隔缺损、复杂性CHD的符合率显著升高；与彩超组和MSCT组比较，联合组符合率显著升高，差异有统计学意义（P<0.05）。彩超主要观察CHD具体血流状况，MSCT则主要观察CHD的血管形态。MSCT联合彩超诊断的灵敏度（99.63%）、特异性（99.38%）、准确度（97.65%）、阳性预测值（97.19%）、阴性预测值（99.93%）、ROC曲线下面积（0.996）显著高于单一方法检测值，差异有统计学意义（P<0.05）。结论：MSCT联合彩超可有效提高儿童CHD诊断的准确率。
Abstract:
Abstract: Objective To study the value of multi-slice computed tomography (MSCT) combined with color Doppler ultrasound in the diagnosis of childrens congenital heart disease (CHD). Methods 85 children with CHD were selected and divided into color Doppler ultrasound group, MSCT group and combined group. All children underwent color Doppler ultrasound and MSCT, and the postoperative pathological results were regarded as the gold standard. The detection rate and the coincidence rate of children with CHD in each group were compared the characteristics of CHD images in color Doppler ultrasound and MSCT were observed the receivers operating characteristic (ROC) curve was used to evaluate the diagnostic value of each method for children with CHD. Results Compared with the MSCT group, the coincidence rate of diagnosing secundum atrial septal defect in the color Doppler ultrasound group was significantly higher. Compared with the color Doppler ultrasound group, the detection rate of patent ductus arteriosus, complex CHD and the coincidence rate of tetralogy of Fallot, ventricular septal defect and complex CHD in MSCT group were significantly increased. Compared with the color Doppler ultrasound group and MSCT group, the coincidence rate of the combined group was significantly higher. The difference was statistically significant (P<0.05) Color Doppler ultrasound was mainly used to observe the specific blood flow of CHD, while MSCT was mainly used to observe the blood vessels form of CHD. The sensitivity (99.63%), specificity (99.38%), accuracy (97.65%), positive predictive value (97.19%), negative predictive value (99.93%) and the area under ROC curve (0.996), diagnosed by MSCT combined with color Doppler ultrasound, were significantly higher than those by a single method. The difference was statistically significant (P<0.05). Conclusions MSCT combined with color Doppler ultrasound can effectively improve the accuracy of childrens CHD diagnosis.

备注/Memo

备注/Memo:
【收稿日期】2020-07-21 【基金项目】长沙市科技计划项目（K1403066-31） 【作者简介】罗元臣，硕士，主治医师，研究方向：超声介入，E-mail: h9226@qq.com 【通信作者】黄静怡，主治医师，研究方向：妇产科及肝胆超声，E-mail: 1470307172@qq.com
更新日期/Last Update: 2020-12-30