16层螺旋CT对冠状动脉疾病的诊断价值分析  

Study of 16 slice spiral CT in the diagnosis of coronary artery disease

作　　者：张定义[1] 朱晶[1] 李晓惠[1] 

机构地区：[1]宁夏回族自治区固原市人民医院放射科,固原756000

出　　处：《陕西医学杂志》2013年第4期415-418,共4页Shaanxi Medical Journal

摘　　要：目的:探讨16层螺旋CT在诊断冠状动脉疾病中的临床应用价值。方法:对59例冠状动脉疾病的16层螺旋CT资料在特定工作站上完成图像重建后进行回顾性分析。28例同时行冠状动脉造影(SCA)。结果:59例患者血管在CT图像上显示清晰。其中冠状动脉开口起源异常1例,冠状动脉狭窄12例,冠状动脉心肌桥29例,冠状动脉主干斑块49例(软斑块18例,硬斑块31例),左优势分布1例。28例SCA结果27例与CT一致,1例右侧冠状动脉高位开口SCA误诊为缺如。结论:16层螺旋CT冠状动脉造影清晰显示了血管的病变,是一种有效的无创性检查,具有较高的诊断价值,可作为基层医院对冠状动脉疾病筛查的首选检查方法。Objective：To explore 16 slices spiral CT in diagnosis of coronary artery disease in clinical application value. Methods：To 59 cases of coronary artery disease with 16 slices spiral CT in specific workstation complete data after image reconstruction were retrospectively analyzed. In 28 patients and coronary angiography （SCA）. Results： On 59 cases in patients with CT images showed clear. Including coronary artery openings rigin 1 cases, 12 cases of coronary ar：Eery stenosis, 29 cases of coronary artery myocardial bridge and 49 cases of main coronary artery plaque （soft plaquein 18 cases, 31 cases of hard plaque）, left dominant distribution 1. In 28 cases of SCA results in 27 patients with CT, 1 cases of right coronary artery high level openings SCA misdiagnosed as absence. Conclusion： 16 slices spiral CT coronary angiography showed clear the blood vessels of the pathological changes, is an effective noninvasive examination, has a high diagnostic value, can be used as the primary hospital for coronary artery disease screening preferred inspection method.

关 键 词：冠状动脉疾病/放射照像术 体层摄影术 X线计算机 

分 类 号：R543.3[医药卫生—心血管疾病]