冠状动脉迂曲影像诊断比较分析  

Comparative analysis of imaging in diagnosis of coronary artery tortuosity

作　　者：许泽兵[1] 曹骁[1] 孙瑜[1] 杨碧林 蒲斌[1] 

机构地区：[1]四川省阆中市人民医院放射科,四川阆中637400

出　　处：《中国中西医结合影像学杂志》2015年第1期16-18,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨128层CTA与冠状动脉造影(coronary angiography,CAG)对冠状动脉迂曲的诊断价值。方法:160例疑诊为冠心病的患者均行冠状动脉CTA,其中97例CTA检查前、后2周行CAG检查。对比分析2种方法对冠状动脉迂曲的检出率及对冠状动脉迂曲程度评价。结果:160例检出冠状动脉迂曲26例,CTA、CAG检出率分别为16.3%(26/160)、14.4%(14/97)。重度迂曲患者年龄较轻中度大,迂曲长度较短(P<0.05),但2组间曲段至窦口距离差异无统计学意义(P>0.05)。结论:128层CTA可清晰显示冠状动脉迂曲及评价迂曲程度,对冠状动脉迂曲的诊断有重要价值。Objective：To explore the value of 128 slice spiral CT arteriography（CTA） and coronary angiography（CAG） in diagnosis of coronary artery tortuosity. Methods：160 patients with suspected coronary heart disease were performed coronary CTA,among them,97 cases underwent CAG before and after 2 weeks CTA examination. Comparative analysis of two methods for the detection and evaluation of coronary artery tortuosity was performed. Results：160 patients were detected with 26 cases of coronary artery tortuosity. CTA,CAG detection rate was 16.3%（26/160） and 14.4%（14/97）. For the patients with mild-to-moderate tortuosity,patients with severe tortuosity had an older age,shorter tortuosity length（P 0.05）,but there was no significant difference in the distance from the beginning of tortuosity to the sinus ostium（P 0.05）. Conclusions：128-slice spiral CTA can clearly display coronary artery tortuosity and evaluate tortuosity level. It has an important clinical value in diagnosis.

关 键 词：冠状动脉迂曲 体层摄影术 X线计算机 冠状血管造影术 

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