女性冠心病患者冠状动脉内斑块组织虚拟性血管内超声影像学特征  

Intravascular Ultrasound-virtual Histology Features of Coronary Artery Plaques in Female with Coronary Disease

作　　者：邢聪慧 王旭 邵一兵 王正忠 要英杰 管军 

机构地区：[1]山东省青岛市立医疗集团东院心内科,266071

出　　处：《实用心脑肺血管病杂志》2012年第12期1954-1956,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨女性冠心病患者冠状动脉斑块在血管内超声(IVUS)下的表现特点。方法将28例经过冠脉造影检查确诊为冠心病的患者分为两组:女性组15例;男性组13例。对其病变最狭窄处行IVUS检查。结果两组患者年龄比较,差异有统计学意义(P<0.05);两组纤维斑块、脂肪斑块含量比较,差异有统计学意义(P<0.05);而钙化斑块和混合斑块含量比较,差异无统计学意义(P>0.05)。结论女性冠心病患者的特点是斑块中脂质成分含量丰富,纤维成分含量少,更易出现破裂诱发血栓形成,引起心血管事件。Objective To investigate the morphological features of atheroselerotic plaques hy intravaseular ultrasound （IVUS） in female with coronary disease. Methods Twenty - eight patients with coronary heart disease （CHD） who were exam-ined by CAG were divided into 2 groups, as 15 patients in female group and 13 patients in male group. The most stenosis lesions of all patients were examined by IVUS. Results Two groups of patients were comparable for age, the difference was statistically significant （ P 〈 0. 05） ; two groups of fibrous plaque, fatty plaque content comparison, the difference was statistically significant （P 〈 0. 05） ; and calcified plaques and mixed plaque content comparison, the difference was not statistically significant （P 〉 0. 05）. Conclusion The characteristic of CHD in females is that there are more fatty plaques than fiber plaques in coronary artery plaques which could cause plaque rupture and cardiovascular events.

关 键 词：女性 冠心病 冠状动脉 超声检查 

分 类 号：R541.4[医药卫生—心血管疾病]