[1]王子荣,杨 栋,徐 曌,等.左心耳封堵术MSCT三维成像测量可行性分析和临床应用[J].介入放射学杂志,2016,(12):1035-1039.
　WANG Zi- rong,YANG Dong,XU Zhao,et al.MSCT three- dimensional imaging measurement for percutaneous transcatheter left atrial appendage occlusion： feasibility analysis and clinical application[J].journal interventional radiology,2016,(12):1035-1039.
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左心耳封堵术MSCT三维成像测量可行性分析和临床应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年12期
页码:
1035-1039
栏目:
心脏介入
出版日期:
2016-12-25

文章信息/Info

Title:
MSCT three- dimensional imaging measurement for percutaneous transcatheter left atrial appendage occlusion： feasibility analysis and clinical application
作者:
王子荣;  杨 栋;  徐 曌;  张邢炜;  丁建平
Author(s):
WANG Zi- rong;  YANG Dong;  XU Zhao;  ZHANG Xing- wei;  DING Jian- ping
Department of Medical Imaging， Affiliated Hospital of Hangzhou Normal University， Hangzhou， Zhejiang Province 310015， China
关键词:
【关键词】 心房颤动;  经皮左心耳封堵术;  多层螺旋CT三维成像
文献标志码:
A
摘要:
【摘要】 目的 采用心电门控多层螺旋CT（MSCT）三维成像技术重建心房颤动（AF）患者左心耳并进行测量，探讨其在经皮左心耳封堵术（PCLAA）中应用的可行性和临床价值。方法 入选AF患者27例，年龄43～80岁，平均（67.3±11.5）岁；非瓣膜性AF 25例，瓣膜性AF 2例。15例完成PCLAA术。术前行心电门控MSCT检查，通过AW4.4后处理工作站重建左心耳三维结构，空间向量测量左心耳开口长短径及深度，与术中经食管超声心动图（TEE）测量作比较，选择合适尺寸左心耳封堵器及植入位置，植入左心耳颈部。术后3个月TEE复查左心耳和（或）MSCT三维重建。结果 AW4.4后处理工作站重建下，外测法测量左心耳开口长径与封堵器最终选择有显著相关性（r=0.968），差异无统计学意义（P＞0.05）；内侧法与封堵器最终选择有相关性（r=0.897），差异无统计学意义（P＞0.05）。15例手术患者随访3个月，TEE或CT三维重建复查均未见血流渗漏。结论 心电门控MSCT三维成像技术能够重建AF患者左心耳三维结构，为PCLAA术前提供封堵器植入重要数据，也为术后随访提供可靠依据，具有临床可行性及应用价值。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１6-０5-０6）
（本文编辑：边 佶）
更新日期/Last Update: 2016-12-15