心外膜脂肪体积与冠状动脉粥样硬化及心肌桥的关系  

Relationship of epicardial adipose tissue volume with coronary atherosclerosis and myocardial bridge

作　　者：李红文[1] 赵韧[2] 李小虎[1] 丁川 王婷婷[1] 余长亮[1] 王万勤[1] 王海宝[1] 刘斌[1] LI Hongwen;ZHAO Ren;LI Xiaohu;DING Chuan;WANG Tingting;YU Changliang;WANG Wanqin;WANG Haibao;LIU Bin(Department of Radiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Vasculocardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院放射科,安徽合肥230022 [2]安徽医科大学第一附属医院心血管内科,安徽合肥230022

出　　处：《中国医学影像技术》2020年第1期64-67,共4页Chinese Journal of Medical Imaging Technology

基　　金：国家自然科学基金(81970446、81600286);安徽省科技攻关项目(201904a07020060);安徽省高校自然基金重点项目(KJ2018A0197)

摘　　要：目的探讨心外膜脂肪(EAT)体积与冠状动脉粥样硬化及心肌桥(MB)之间的关系。方法回顾性分析接受冠状动脉CTA检查的375例患者的影像学资料,其中粥样硬化斑块导致冠状动脉狭窄患者116例(斑块组),单纯MB患者78例(MB组),MB合并动脉粥样硬化斑块患者35例(MB合并斑块组),冠状动脉正常者146例(正常组)。测量并比较4组EAT体积。结果斑块组、MB组、MB合并斑块组、正常组平均EAT体积分别为(110.76±37.17)cm 3、(104.97±36.72)cm 3、(112.02±45.32)cm 3、(91.06±34.27)cm 3,斑块组、MB组、MB合并斑块组均高于正常组(P=0.001、0.031、0.043),斑块组、MB组、MB合并斑块组两两比较差异均无统计学差异(P均>0.05)。结论MB患者EAT体积增大,具有发展为动脉粥样硬化的潜在风险。Objective To explore the relationship of epicardial adipose tissue(EAT)volume with coronary atherosclerosis and myocardial bridge(MB).Methods Imaging data of 375 patients who underwent coronary CTA were analyzed retrospectively,including 116 cases of atherosclerosis(plaque group),78 cases of MB(MB group),35 cases of MB with atherosclerosis(MB+plaque group)and 146 normal ones(normal group).The volume of EAT was measured manually and compared among 4 groups.Results EAT volume of plaque group,MB group,MB+plaque group and normal group were(110.76+37.17)cm 3,(104.97+36.72)cm 3,(112.02+45.32)cm 3 and(91.06±34.27)cm 3,respectively.EAT volume of plaque group,MB group,MB+plaque group were significantly higher than that of normal group(P=0.001,0.031,0.043).There was no difference among plaque group,MB group and MB+plaque group(all P>0.05).Conclusion Patients with MB have higher EAT volume than those with normal coronary artery,presenting higher potential risk of developing coronary atherosclerosis.

关 键 词：心脏 脂肪组织 冠状动脉疾病 动脉硬化 心肌桥 体层摄影术 X线计算机 

分 类 号：R543.3[医药卫生—心血管疾病] R814.42[医药卫生—内科学]