颈动脉超声与冠状动脉CT筛查中青年健康男性冠状动脉粥样硬化的意义  

The analysis of coronary CT findings in healthy middle-aged men

作　　者：赵雩卿[1] 霍白鸽[1] 于淑英[1] 

机构地区：[1]北京军区总医院特需医疗部,10070

出　　处：《中华保健医学杂志》2012年第5期369-371,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的初步分析中青年男性健康体检的颈动脉超声与冠状动脉CT成像(CTA)结果。方法在北京军区总医院VIP门诊进行健康体检的金融从业者中,筛选出无症状中青年男性共80例,均进行冠状动脉CTA、颈动脉超声、心电图、超声心动图及血脂的测定。结果 80例体检者中,采用CTA共检出冠状动脉病变19例,占总例数23.75%。颈动脉超声检出一侧以上颈动脉内膜中层增厚(IMT)或斑块形成者41例,其中17例冠状动脉CT同时检出冠状动脉病变,亦即41.5%颈动脉超声下有异常发现者同时合并冠状动脉病变。冠状动脉CT诊断冠状动脉病变阳性与阴性之间进行比较,仅年龄和颈动脉IMT差异有统计学意义(P<0.05)。结论冠状动脉CTA是一种早期发现冠状动脉病变无创、可靠的检查和诊断方法,尤其对中青年男性亚健康高危人群,凡颈动脉超声提示异常者,无论血脂异常否,均有必要进一步行冠状动脉CTA筛查冠状动脉病变。Objective To analyze coronary CT findings and determine its necessity for early screening of coronary artery lesions in healthy middle-aged men. Methods A total of 80 cases asymptomatic young men in the VIP outpatient were collected.All subjects underwent coronary CT and carotid ultrasound. ECG and serum lipid were also determined. Results Coronary artery lesions were found in 19 patients,which accounted for 23.75% of the total number. According to CT diagnosis for coronary lesions,80 cases were divided into two groups：positive and negative. When the two groups are compared,only age and carotid artery intimamedia thickness （IMT）had significant differences （P0.05）,while blood lipid indexes had no statistical significance. Conclusions Coronary CT imaging is a noninvasive and reliable screening diagnostic method,especially for subclinical young men. Whatever the lipid levels are,it is necessary to conduct further coronary CT as a screening test for coronary artery disease.

关 键 词：冠状动脉CT成像 颈动脉超声 血脂 

分 类 号：R445.1[医药卫生—影像医学与核医学]