64排螺旋CT冠状动脉成像的临床应用价值  

The Clinical Applicable Value of 64-Detector Spiral Computed Tomography Coronary Angiography

作　　者：丁耀军[1] 谢安明[1] 

机构地区：[1]中国人民解放军第94医院放射科,南昌330002

出　　处：《江西科学》2016年第5期593-595,665,共4页Jiangxi Science

摘　　要：探讨64排螺旋CT冠状动脉血管成像(CCTA)在临床上的应用价值。对320例临床拟诊为冠心病的患者行64排螺旋CT冠状动脉血管成像,同时在1周内进行数字减影血管造影(DSA)检查,将DSA检查结果作为金标准。结果 10例患者共40支血管无狭窄;7例患者12支血管无法评价,可评价16支血管当中10支有狭窄,6支无狭窄;3例患者共12支血管完全无法评价;300例患者共1 200支血管当中,785支血管不同程度狭窄,415支血管无狭窄;320例患者当中15例检出心肌桥,3例冠状动脉发育异常。结论:64排螺旋CT冠状动脉血管成像对冠心病的诊断和筛查具有重要作用。To explore the clinical applicable value in 64-detector helical CT coronary arteries imaging. 320 patients of coronary heart disease by clinical diagnosis were performed coronary angiography imaging by 64-detector helical computed tomography,at the same time,digital subtraction angiography（ DSA） was done within 1 weeks,which would be thought as gold standard. Results ten patients totally 40 vessels without narrow; 7 patients totally 12 vessels could not be evaluated,10 of 16 appreciable vessles show stenosis,the others were no narrow; 3 patients with a total of 12 vessels could not be evaluated completely; among of 300 patients with a total of 1 200 blood vessels,785 vessels were different degree narrow the others show no stenosis; among of the 320 patients,15 cases were detected the myocardial bridge,and 3 cases congenital variation. Conclusion： 64-detector helical CT coronary angiography had an important value in diagnosing and screening coronary heart disease.

关 键 词：64排螺旋CT 冠状动脉血管成像 

分 类 号：R541.4[医药卫生—心血管疾病] R816.2[医药卫生—内科学]