多排螺旋CT和心血管造影对心肌桥-壁冠状动脉诊断价值的对比研究  

Comparative Study of the Diagnostic Value of Multislice Spiral CT and Cardiovascular Angiography in Myocardial Bridge-wall Coronary Arteries

作　　者：王迪 Wang Di(Cardiovascular DepartmentⅡ,Nanyang First People’s Hospital,Nanyang,Henan,473000,China)

机构地区：[1]南阳市第一人民医院心血管内二科,河南南阳473000

出　　处：《黑龙江医学》2024年第12期1456-1458,共3页Heilongjiang Medical Journal

摘　　要：目的:对比多排螺旋CT和心血管造影对心肌桥-壁冠状动脉的诊断价值。方法:选取2022年1月—2023年3月接受诊疗的50例疑似心肌桥-壁冠状动脉患者作为研究对象,所有患者均接受多排螺旋CT和心血管造影检查。对比两种检查方式的结果、壁冠状动脉埋藏深度与狭窄程度相关性及诊断价值。结果:多排螺旋CT检查的壁冠状动脉长度及埋藏深度均大于心血管造影,差异有统计学意义(t=6.983、4.866,P<0.05);多排螺旋CT检查的狭窄程度低于心血管造影,差异有统计学意义(t=6.283,P<0.05);多排螺旋CT检查的深埋型心肌桥-壁冠状动脉狭窄程度明显高于表浅型心肌桥-壁冠状动脉,差异有统计学意义(t=5.975,P<0.05);心血管造影检查下深埋型心肌桥-壁冠状动脉狭窄程度明显高于表浅型心肌桥-壁冠状动脉,差异有统计学意义(t=6.387,P<0.05)。多排螺旋CT和心血管造影诊断表浅型心肌桥-壁冠状动脉、深埋型心肌桥-壁冠状动脉Kappa值为0.954,一致性较高。结论:多排螺旋CT和心血管造影对心肌桥-壁冠状动脉诊断效能相对一致,其中多排螺旋CT更易于检出壁冠状动脉长度及埋藏深度,而心血管造影则在狭窄程度的判断方面有显著价值,必要时可采取联合检查方式,以实现优势互补。Objective:To compare the diagnostic value of multislice spiral CT and cardiovascular angiography in myocardial bridge-wall coronary arteries.Methods:50 patients with suspected myocardial bridge-mural coronary arteries who received treatment from January 2022 to March 2023 were selected as the study subjects,and all of them underwent multi-row spiral CT and cardiovascular angiography.The results of the two examination modalities,the correlation between the buried depth of the mural coronary artery and the degree of stenosis,and the diagnostic value were compared.Results:Wall coronary artery length and burial depth were greater in multi-row spiral CT than in cardiovascular angiography,and the difference was statistically significant(t=6.983,4.866;P<0.05).The degree of stenosis in multi-row spiral CT was lower than that in cardiovascular angiography,and the difference was statistically significant(t=6.283,P<0.05).The degree of stenosis of deeply buried myocardial bridge-mural coronary arteries was significantly higher than that of superficial myocardial bridge-mural coronary arteries on multislice CT,and the difference was statistically significant(t=5.975,P<0.05).The degree of stenosis of deeply buried myocardial bridge-mural coronary arteries was significantly higher than that of superficial myocardial bridge-mural coronary arteries in cardiac angiography,and the difference was statistically significant(t=6.387,P<0.05).The Kappa value for the diagnosis of superficial myocardial bridge-wall coronary arteries and deeply buried myocardial bridge-wall coronary arteries by multislice CT and cardiovascular angiography was 0.954,with a high degree of concordance.Conclusion:The diagnostic efficacy of multi-row spiral CT and cardiovascular angiography on myocardial bridge-wall coronary arteries is relatively the same,in which multi-row spiral CT is easier to detect the length of the wall coronary arteries and the depth of the buried depth,and the cardiovascular angiography has a significant value in the determination of th

关 键 词：心肌桥-壁冠状动脉 多排螺旋CT 心血管造影 

分 类 号：R445.3[医药卫生—影像医学与核医学]