CT-SYNTAX评分在复杂冠状动脉疾病心肌血运重建决策中的应用进展  

The application of CT-SYNTAX score for planning myocardial revascularization in complex coronary artery disease

作　　者：国晶晶[1] 任雯 李东(审校)[3] GUO Jingjing;REN Wen;LI Dong(Department of Radiology,Tianjin Huanhu Hospital,Tianjin 300350,China;Department of Radiology,The Affiliated Suzhou Hospital of Nanjing Medical University;Department of Radiology,Tianjin Medical University General Hospital)

机构地区：[1]天津市环湖医院医学影像科,天津300350 [2]苏州市立医院北区医学影像科 [3]天津医科大学总医院医学影像科

出　　处：《国际医学放射学杂志》2021年第5期574-578,共5页International Journal of Medical Radiology

基　　金：国家自然科学基金青年科学基金(81301217);科技部“十三五”国家重点研发计划(2016YFC1300402);中华国际医学交流基金会SKY影像科研基金项目(Z-2014-07-2003-05);天津市应用基础与前沿技术研究计划(18JCYBJC25100)。

摘　　要：复杂冠状动脉疾病(CAD)心肌血运重建治疗策略的选择是临床医师关注的问题,基于有创冠状动脉造影(ICA)的SYNTAX评分是当前重要的临床指导依据。随着冠状动脉CT血管成像(CCTA)的普及,基于CCTA的SYNTAX评分(CT-SYNTAX)成为研究热点。基于CCTA的血流储备分数(FFRCT)可提供CAD的功能学信息,实现了CT-SYNTAX评分从解剖学向功能学的提升。就CT-SYNTAX评分在复杂CAD病人治疗策略中应用的研究进展予以综述。The selection of treatment strategies for myocardial revascularization in complex coronary artery disease(CAD)is the most concerned problem of clinicians.At present,SYNTAX score derived from invasive coronary angiography(ICA)has become an important basis for clinical guidance.With the application of coronary CT angiography(CCTA),the SYNTAX score derived from CCTA(CT-SYNTAX)has become a research hotspot.Fractional flow reserve derived from CCTA(FFRCT)can provide functional information of CAD and CT-SYNTAX score turns the evaluation from anatomy into function.This article reviews the research progress of the application of CT-SYNTAX score in the decision-making of patients with complex CAD.

关 键 词：冠状动脉疾病 SYNTAX评分 体层摄影术 X线计算机 血管成像 

分 类 号：R541.4[医药卫生—心血管疾病] R445.3[医药卫生—内科学]