冠状动脉心肌桥的临床诊断与治疗分析  

Clinical report on diagnosis and treatment of coronary artery myocardial bridge

作　　者：熊宁[1] 琚璐[1] 王强[1] 曾素琴[1] 彭志群[1] 吴珊燕[1] 周美灵[1] 

机构地区：[1]解放军第184医院心血管内科,江西鹰潭335000

出　　处：《临床军医杂志》2013年第8期774-776,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨冠状动脉心肌桥的临床诊断与治疗方法。方法回顾分析冠状动脉造影836例患者的临床资料,对21例冠状动脉心肌桥患者的临床诊断与治疗进行分析。结果 836例患者行冠状动脉造影检查,检出冠状动脉心肌桥21例,发生率为2.51%(21/836);左前降支19例,右冠状动脉2例;18例患者给予药物治疗,2例患者行介入治疗,1例患者行手术治疗。结论冠状动脉心肌桥多发于左前降支,主要治疗方式为药物治疗,严重者可选择介入治疗或手术治疗。Objective To study the clinical diagnosis and treatment of coronary artery myocardial bridge. Methods A retrospective analysis was made by the clinical data of 836 patients who had undergone selected coronary arteriography. From them, 21 patients with coronary artery myocardial bridge were analyzed on the aspects of diagnosis and treatment. Results The incidence of myocar- dial bridge was 2.51% （21/836）. Myocardial bridge was located at left anterior descending artery in 19 and at right coronary artery in 2 patients. Drug therapy was given to 18, interventional therapy to 2, and surgical treatment to 1 patient（s）. Conclusion My- ocardial bridge is most likely to happen at left anterior descending artery. The main treatment is drug treatment, and serious patients choose interventional or surgical therapy.

关 键 词：冠状动脉疾病 心肌桥 诊断 治疗 

分 类 号：R543.3[医药卫生—心血管疾病]