冠脉CTA对冠状动脉肺动脉瘘合并动脉瘤的诊断  

Diagnostic Value of the Coronarypulmonar y Arter y Fistula Combined Aneurysm with CT Angiography

作　　者：王全用 石峰 王昕 石磊 郝粉娥[2] WANG Quan-yong;SHI Feng;WANG Xin;SHI Lei;HAO Fen-e(Department of Imaging,Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine,Hohhot 010020,Inner Mongolia,China;Department of Radiology,The Affiliated Hospital Of Inner Mongolia Medical university,Hohhot 0010050,China)

机构地区：[1]内蒙古自治区中医医院医学影像科,内蒙古呼和浩特010020 [2]内蒙古医科大学附属医院影像诊断科,内蒙古呼和浩特010050

出　　处：《中国CT和MRI杂志》2024年第11期72-74,共3页Chinese Journal of CT and MRI

基　　金：内蒙古自治区自然科学基金(2016MS08144)。

摘　　要：目的评价MSCT对冠状动脉-肺动脉瘘(CPF)合并动脉瘤的诊断价值。方法回顾性分析冠状动脉CTA检查中发现的24例冠状动脉-肺动脉瘘患者的影像资料,总结其影像特征。结果24例冠状动脉-肺动脉瘘患者中,双侧冠状动脉瘘入肺动脉共14例,右侧冠状动脉瘘入肺动脉共6例,左侧冠状动脉瘘入肺动脉共4例。合并动脉瘤15例,瘤体单发6例,多发9例。结论冠脉CTA能准确判断CPF的有无,可清晰全面显示动脉瘤的位置、形态及大小,对CPF合并动脉瘤的早期诊断及制订治疗方案有重要价值。Objective To evaluate the value of MSCT in diagnosing the coronary-pulmonary artery fistula combined aneurysm.Methods The imaging data of 24 cases of the coronary-pulmonary artery fistula were retrospectively analyzed to conclude the MSCT features.Results In 24 cases of coronary-pulmonary artery fistula,6 cases of fistula were in right coronary artery,and 4 cases were in left coronary artery.Dual origins were seen in 14 patients.The aneurysm were demonstrated in 15 cases.The aneurysm was Solitary in 6 patients,and multiple in 9 patients.Conclusion The origin,morphology,size,number and the position of the aneurysm could be clearly displayed on MSCT.It plays an important role in the diagnosis and treatment of the coronary-pulmonary artery fistula combined aneurysm.

关 键 词：冠状动脉-肺动脉瘘 动脉瘤 体层摄影术 CT冠状动脉造影 

分 类 号：R543.3[医药卫生—心血管疾病]