64层螺旋CT对冠状动脉起源异常及预后的评价  被引量:6

Value of 64 MSCT for evaluation of coronary artery anomalies and prognosis

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作  者:马国军[1] 于淑靖[1] 李忠信[1] 

机构地区:[1]河北医科大学沧州临床学院CT室,河北沧州061001

出  处:《中国临床医学影像杂志》2007年第8期537-539,共3页Journal of China Clinic Medical Imaging

摘  要:目的:探讨64层螺旋CT诊断冠状动脉起源异常的价值及对预后的评价。方法:对1211例冠状动脉CT血管成像(CTA)资料进行回顾性分析。结果:1211例完整冠状动脉CTA结果中,共检出冠状动脉起源异常18例,检出率为2.17%。包括右冠状动脉起源于左窦5例,伴前降支和回旋支单开口1例;右冠状动脉起源于升主动脉1例;圆锥动脉单开口4例;左冠状动脉主干起源于右窦3例;回旋支起源于右窦1例。前降支和回旋支单开口4例;共有8例冠状动脉分别起源于对侧窦,其中有3例该段有50%左右狭窄。结论:64层螺旋CT是冠状动脉起源异常安全和有效的确诊方法,并可对预后做出评估。Objective: To assess the value of 64 muhislice spiral CT for evaluation of the origin of coronary artery anomalies and prognosis. Methods: 1211 patients undergone coronary artery CT angiography (CTA) were reviewed for this study. Results: In consecutive 1211 patients, 64 MSCT identified 18 cases (2.17%) with an anomalous origin of the coronary artery, including anomalous origin of the fight coronary artery from left coronary sinus(n=5), anomalous high origin of the fight coronary artery(n=l), separate origin of CB from fight sinus(n=4), anomalous origin of the left coronary artery from fight coronary sinus(n=3), left circumflex coronary artery from fight sinus(n=l), separate origin of left circumflex coronary artery and left anterior descending arteries from left coronary sinus (n=5). Three coronary arteries in 8 patients with anomalous origin showed mild stenosis. Conclusion: Noninvasive 64 MSCT can detect the anomalous origin of the coronary artery with high resolusion, and can evaluate the prognosis of the anomalous origin coronary artery.

关 键 词:冠状动脉疾病 体层摄影术 X线计算机 

分 类 号:R543.3[医药卫生—心血管疾病] R814.42[医药卫生—内科学]

 

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