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目的探讨128层螺旋CT血管造影(MSCTA)在诊断肺静脉异位引流(APVC)中的临床应用价值。方法回顾性分析21例APVC患者的MSCTA资料,常规行多平面重组(MPR)、最大强度投影(MIP)和容积再现(VR)等后处理。结果 21例中完全性APVC 11例,其中心上型5例,心内型4例,心下型2例;部分性APVC 10例。MSCTA诊断与手术结果一致。结论 MSCT及三维重组对APVC诊断准确性高,是一种可靠的无创检查方法。
Objective To investigate the clinical value of 128-slice spiral CT angiography (MSCTA) in the diagnosis of pulmonary venous anomalous drainage (APVC). Methods The MSCTA data of 21 patients with APVC were retrospectively analyzed. Conventional MPR, MIP and VR post-treatment were retrospectively analyzed. Results Among the 21 cases, 11 cases were complete APVC. There were 5 cases of cardinal type, 4 cases of cardial type and 2 cases of cardial type. 10 cases were partial APVC. MSCTA diagnosis and surgical findings. Conclusion MSCT and three-dimensional reconstruction of APVC diagnostic accuracy, is a reliable noninvasive detection method.