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目的:探讨16层CT血管成像对先天性房、室间隔缺损的CT表现及其诊断应用价值。方法:回顾性分析5例先天性房间隔缺损和8例先天性室间隔缺损患者的16层CT对比增强检查结果,13例均有手术结果及超声心动图结果对照。结果:16层CT能清晰显示先天性房、室间隔缺损,诊断符合率为100%;在诊断先天性房、室间隔缺损程度方面与超声心动图无明显差异。结论:16层CT与超声心动图检查相结合,可大大提高对先天性房、室间隔缺损的诊断准确率,减少有创的心血管造影检查,以指导手术。
Objective: To investigate the CT findings of 16-slice CT angiography in the diagnosis of congenital atrial and ventricular septal defects and its diagnostic value. Methods: A retrospective analysis of 5 cases of congenital atrial septal defect and 8 cases of congenital ventricular septal defect in patients with 16-slice CT contrast enhancement test results, 13 cases were surgical results and echocardiography results. Results: 16-slice CT can clearly show congenital atrioventricular septal defect, the diagnostic coincidence rate of 100%; in the diagnosis of congenital atrioventricular septal defect degree and echocardiography no significant difference. Conclusion: The combination of 16-slice CT and echocardiography can greatly improve the accuracy of diagnosis of congenital atrioventricular septal defect and reduce invasive angiocardiography to guide the operation.