Application of transthoracic echocardiography and CT in diagnosis of complex congenital heart disease
10.3760/cma.j.issn.1004-4477.2014.02.006
- VernacularTitle:超声联合CT诊断复杂先天性心脏病的价值探讨
- Author:
Hua WANG
;
Jianbo GAO
;
Wen CHU
;
Weiwei CAI
- Publication Type:Journal Article
- Keywords:
Echocardiography;
Tomography,X-ray computed;
Heart defects,congenital
- From:
Chinese Journal of Ultrasonography
2014;23(2):117-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of transthoracic echocardiography (TTE) and 320-row CT in diagnosis of complex congenital heart disease(CCHD).Methods A retrospective analysis was performed in 68 patients with CCHD,which contained the echocardiographic apprarance,320-row CT and surgical outcoming.All of malformations were divided into three groups:intracardiac group,heart-large vascular connecting group and extracardiac group.Results One hundred and eighty-four malformations were comfirmed by surgery in the 68 cases.The misdiagnosis and missed diagnosis rate of CT and TTE:for the intracardiac anomalies were 12％ (11/93),1％ (1/93) respectively (P ＜ 0.05),for the heart-large vascular connecting malformation were 4％ (2/49),6％ (3/49) respectively (P ＞ 0.05),and for the extracardiac anomalies were 2％(1/42),19％(8/42) respectively (P ＜0.05),for the total anomalies were 8％(14/184),7％ (12/184) respectively (P ＞0.05).While it was 1％ (2/184) in diagnosis of total anomalies by both CT and TTE.Conclusions Both 320-row CT and TTE have their own advantages and shortcomings in the diagnosis of CCHD.Joint application of two methods could reduce the rate of misdiagnosis and missed diagnosis of CCHD.
