心外膜脂肪组织体积与零钙化积分冠状动脉斑块的关系  

Correlation of epicardial adipose tissue volume with coronary plaques in patients with a coronary artery calcium score of zero

作　　者：张文艳[1,2] 李健[2] 周蕊[2] 李静[2] 刘景旺[2] 郑宝霞[2] 刘淑娟[2] 史红芸 关凤焕[2] 郭庆乐[2] 

机构地区：[1]华北理工大学研究生学院,河北唐山063000 [2]华北理工大学附属开滦总医院影像科

出　　处：《实用放射学杂志》2016年第3期411-413,418,共4页Journal of Practical Radiology

摘　　要：目的探讨心外膜脂肪组织体积（EATV）与零钙化积分冠状动脉斑块的关系。方法回顾性分析临床疑诊为冠心病但冠状动脉钙化积分测定为零的183例患者，根据CT冠状动脉造影显示有无斑块分为斑块组及对照组。按照不同性别及年龄分层，采用独立样本t检验比较2组EATV。结果①斑块组EATV高于对照组（P〈0．05）。②女性斑块组EATV高于对照组（P〉0．05）；男性斑块组EATV高于对照组（P〈0．05）。③年龄〈50岁人群斑块组EATV高于对照组（P〈0．05）；年龄≥50岁人群斑块组EATV高于对照组（P〈0．05）。结论EATV增加与零钙化积分冠状动脉斑块形成在男性人群中有关，在女性人群中关系不大。不同年龄EATV增加均与零钙化积分冠状动脉斑块形成有关。Objective To evaluate the correlation of epicardial adipose tissue volume (EATV)with coronary plaques in patients with a coronary artery calcium score of zero.Methods 183 patients with a coronary artery calcium score of zero were selected.They were divided into plaque group and control group according to the findings of CT coronary angiography.Independent t test was used to analyze the difference of EATV between two groups.Results ①EATV was significant higher in plaque group than that in control group (P <0.05).②EATV was non-significant higher in plaque group than that in control group for female individuals (P >0.05), while it was significant higher in plaque group than that in control group for male individuals (P <0.05).③EATV was significant higher in plaque group than that in control group for the individuals with age< 50 years (P <0.05 ),meanwhile it was significant higher in plaque group than that in control group in age≥50 years(P <0.05).Conclusion EATV is correlated with coronary plaques in male patients with a coronary artery calcium score of zero while there is no correlation with female patients.EATV is correlated with coronary plaques in different age patients with a coronary artery calcium score of zero.

关 键 词：计算机体层成像 心外膜脂肪组织体积 冠状动脉斑块 冠心病 

分 类 号：R814.42[医药卫生—影像医学与核医学] R543.3[医药卫生—放射医学]