中国实用儿科杂志

中国实用儿科杂志

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心血管造影对先天性心脏病分层诊断的价值分析

江　荣，赵　胜，汪泽龙，汪　俭，余　东   

  1. 安徽省立儿童医院心内科，合肥　230051
  • 收稿日期:2008-06-12 修回日期:2008-11-20 出版日期:2009-02-06 发布日期:2009-02-06

Value of angiocardiography in the stratification diagnosis of congenital heart disease.

JIANG Rong， ZHAO Sheng， WANG Ze-long， WANG Jian， YU Dong.   

  1. Department of Cadiology， Anhui Provincial Children’s Hospital ，Hefei 230051，China
  • Received:2008-06-12 Revised:2008-11-20 Online:2009-02-06 Published:2009-02-06

摘要： 分析心血管造影（ACG）对不同类型先天性心脏病（CHD）分层诊断的临床意义。方法　2006年2月至2008年5月安徽省立儿童医院心内科收治的经临床、X线胸片、心电图（EKG）、超声心动图（ECHO）检查证实的各种CHD 患儿34例，对比分析其ACG及ECHO检查结果。结果　经手术证实的21例患儿中，ECHO及ACG与手术证实的完全符合率分别为71.43% （ 15/21 ）和100%（21/21），经χ2检验，P <0.01。 结论　ACG能满足不同类型CHD诊断和治疗的需求，且明显优于ECHO，具有不可替代的分层诊断的临床价值。

关键词: 心血管畸形, 心脏缺损, 超声心动图, 心血管造影术

Abstract: Objective　To evaluate the value of angiocadiography （ACG） in the diagnosis and treatment of complicated and/or complex congenital heart disease （CHD）. Methods　Analyze 34 cases of ACG for complicated and/or complex CHD， and compare with the results obtained by means of echocardiography （ Echo）. Results　The accordance rate by means of Echo and angiocardiography with cardiovascular operation was 71.43% （ 15/21 ） and 100%（21/21） respectively. After χ2 examination， P <0.01. Conclusion　In the field of diagnosis and differential diagnosis of knotty cases of complex and complicated CHD， the result of ACG （including DSA） is superior to Echo， and ACG examination before operation is important and indispensable.

Key words: angiocardiography , heart defects, echocardiograph