先天性冠状动脉-肺动脉瘘的双源CT诊断价值  

Value of DSCT Coronary Angiography in the Diagnosis of Coronary-to-Pulmonary Fistula

作　　者：刘从彬[1] 张波[1] 窦晓峰[1] 

机构地区：[1]江苏省泰州市人民医院医学影像科,江苏泰州225300

出　　处：《现代医用影像学》2015年第2期189-191,共3页Modern Medical Imageology

摘　　要：目的探讨双源CT冠状动脉成像对冠状动脉-肺动脉瘘的诊断价值。材料与方法回顾性分析18例冠状动脉-肺动脉瘘患者的CT冠状动脉成像表现及临床资料。结果 18例患者均可见冠状动脉分支参与连接,病灶均在肺动脉表面形成迂曲、显著强化的血管网,其中5例形成较为明显的小动脉瘤,所有患者肺动脉主干内可见对比剂"射血征"或"浓染征"。结论双源CT冠状动脉造影方便、快捷、无创,可以作为诊断先天性冠状动脉-肺动脉瘘的首选检查方法。Purpose To investigate the dual-source CT coronary angiography （DSCTCA） in the coronary-to-pulmonary fistula diagnosis. Materials and Methods The clinical materials and DSCTCA findings in 18 patients with CPF were retro- spectively analyzed. Results 18 cases were visible to the coronary artery involved in connection. The tortuous, significantly enhanced vascular networks were just on the surface of main pulmonary artery trunk, with aneurysm in 5 patients, all patients were found to have ＂spraying-up＂ and ＂hyper-density＂ in main pulmonary artery. Conclusions The DSCTCA is convenient, fast and noninvasive in the diagnosis of CPF and can be considered as the method of first choice.

关 键 词：瘘 冠状动脉 肺动脉 体层摄影术 X线计算机 

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