双源CT血管成像在冠状动脉-肺动脉瘘诊断中的应用  

Application of dual-source CT angiography in the diagnosis of coronary-pulmonary artery fistula

作　　者：陈青[1] 杨家虎[1] 刘铁[1] 

机构地区：[1]浙江医院放射科,浙江杭州310013

出　　处：《影像诊断与介入放射学》2014年第5期403-406,共4页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨双源CT血管成像在冠状动脉-肺动脉瘘诊断中的应用价值。方法回顾性分析本院2010年1月-2014年1月行双源CT冠状动脉CT血管造影的患者资料，观察有无冠状动脉瘘及其起源及行径。结果16683例冠状动脉CTA的患者中共检测出冠状动脉-肺动脉瘘34例，检出率为0.20%，其中右冠状动脉分支瘘入肺动脉9例（26.47%），左冠状动脉分支瘘入肺动脉11例（32.35%），两侧冠状动脉分支共同瘘入肺动脉14例（41.18%）。结论双源CT冠状动脉造影可清晰显示冠状动脉-肺动脉瘘的起源及行径，可作为诊断冠状动脉ˉ肺动脉瘘的常规检查方法。ObjectiveTo study the diagnostic value of dual-source CT angiography（DSCTA）in coronary-pulmonary artery fistula （CPAF）.Methods DSCTA of 16683 patients between January 2010 and January 2014 was retrospectively analyzed. The presence, origin and course of CPAF were determined.Results Of 16683 MSCTA, CPAF was detected on 34（0.20%）. The CPAF arose from the right coronary arteries in 9（26.47%）, from the left coronary arteries in 11（32.35%）, from bilateral coronary arteries in 14（41.18%）.Conclusion DSCTA can clearly display the origin and distribution of the CPAF and can be used as a routine method for the diagnosis of CPAF.

关 键 词：双源CT CT冠状动脉造影 冠状动脉瘘-肺动脉瘘 

分 类 号：R543.3[医药卫生—心血管疾病] R816.2[医药卫生—内科学]