心外膜脂肪与心周脂肪对冠状动脉粥样硬化诊断价值的对照研究  

Comparative Study on Diagnostic Value of Epicardial Adipose Tissue and Pericardial Adipose Tissue on Coronary Atherosclerosis

作　　者：陈均[1] 吴青山[1] 陆锦贵[1] 

机构地区：[1]江苏省南通市中医院放射科,江苏南通226001

出　　处：《中国CT和MRI杂志》2015年第1期11-14,共4页Chinese Journal of CT and MRI

摘　　要：目的分别分析心外膜脂肪(epicardial adipose tissue,EAT)、心周脂肪(Pericardial adipose tissue,PAT)与冠状动脉粥样硬化之间的关系,比较其优劣。方法对104例受检者进行CTA检查,在钙化积分图像基础上测量心外膜脂肪和心周脂肪体积,分析两者之间的关系及各自与冠状动脉粥样硬化间的关系。结果 EAT体积与PAT体积具有显著相关性(r=0.877,P<0.01);两者与冠状动脉粥样硬化Gensini积分间均具有相关性(P<0.05);2支、3支冠脉病变的EAT、PAT体积大于单支病变(P<0.05),2支、3支之间差异无统计学意义(P>0.05);ROC曲线提示两者对冠状动脉粥样硬化的诊断价值相仿。结论 EAT体积与PAT体积显著相关,对冠状动脉粥样硬化均具有一定的诊断价值。Objective To analyze the relationship between epicardial adipose tissue （EAT） and pericardial adipose tissue （PAT） with coronary atherosclerosis. Methods 104 participants were given CTA inspection. EAT and PAT were measured according to the images of calcification score, and the relationships between them as well as between coronary atherosclerosis with EAT and PAT were analyzed, Reaults There was a significant correlation between EAT volume and PAT volume; they had a certair relationship with Gensini scores - the scores of coronary atherosclerosis; in patients witl~ two or three branches of coronary artery lesions, the EAT and PAT volumes were large1 than that in patients with single lesion, and there was no statistically significant difference between the two and three branches; ROC curve suggested that the diagnostic value,, of EAT and CAT on coronary atherosclerosis were similar. Conclusion EAT volume is, significantly associated with PAT volume, and both of them have a certain diagnosis value to the diagnosis of coronary atherosclerosis.

关 键 词：心周脂肪 心外膜脂肪 多层螺旋CT 冠状动脉 

分 类 号：R445.3[医药卫生—影像医学与核医学] R543[医药卫生—诊断学]