64排容积CT对成人冠状动脉起源异常的诊断价值  

Value of 64-slice voluminal CT in diagnosis of anomalous origin of coronary arteries in adults

作　　者：宋芸[1] 韩庆元[1] 常万松[1] 文明[1] 乔瑛[1] 喻朋辉[1] 李云[1] 阮艳[1] 李红[1] 

机构地区：[1]武警河南总队医院无创血管成像中心,郑州450052

出　　处：《武警医学》2008年第2期146-150,共5页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨64排容积CT对成人冠状动脉起源异常的诊断价值。方法回顾分析3 030例成人冠状动脉CTA检查资料。结果3 030例冠脉CTA中,检查出冠状动脉起源异常70例,检出率为2.3%,其中冠状动脉起源于对侧冠状窦及窦外27例(38.5%);冠状动脉高位开口23例(32.8%);前降支、回旋支均开口于左冠状窦17例(24.3%);单一冠脉2例(均为单一左冠,其中1例合并左主干高开口,2.8%),回旋支开口于对角支及窦房结支开口于右冠状窦各1例(1.4%)。结论64排容积CT诊断冠状动脉起源异常是一种无创、安全、准确、经济的检查方法。Objective To study the value of 64 - slice voluminal CT in the diagnosis of coronary artery origin anomaly in adults.Methods 3 030 adult patients＇ coronary CT angiography data were retrospectively reviewed. Results 64 - SVCT coronary angiography identified 70 patients with coronary artery origin anomalies from 3 030 patients（2.3% ）, including coronary artery originating from the coronary sinus on the oppsite side or beside the coronary sinuses in 27 patients（38.5% ） ; coronary artery high aperture in 23 patients（32.8% ） ;both left anterior descending branch（LAD） and left circumflex artery（LCX） originating from left coronary sinus in 17 patients（24.3% ）; single coronary artery in 2 patients （both involved single left coronary artery, one of them with left branch high aperture）（2.8 % ）, LCX originating from D in one patient （ 1.4% ） ; sinuatrial node artery originating from right coronary sinus in one patient （ 1.4% ）. Conclusions 64 - SVCT coronary angiography is a non - invasive and preicise imaging method for diagnosing the anomalous origin of coronary artery.

关 键 词：冠状动脉 断层摄影术 X线计算机 血管造影术 

分 类 号：R322.1[医药卫生—人体解剖和组织胚胎学] R814.42[医药卫生—基础医学]