不同性别动脉粥样硬化患者的冠状动脉CTA特征差异研究  

Study on the Differences of Coronary Artery CTA Characteristics in Patients with Atherosclerosis of Different Sexes

作　　者：王辉 王书健[1] WANG Hui;WANG Shujian(Nanjing Gulou Hospital Group Anqing Petrochemical Hospital,Anhui 246001,China)

机构地区：[1]南京鼓楼医院集团安庆市石化医院,安徽246001

出　　处：《影像科学与光化学》2025年第2期55-59,共5页Imaging Science and Photochemistry

基　　金：安庆市2023年度医疗卫生类科技计划项目(2023Z6005)。

摘　　要：目的:探索冠状动脉粥样硬化患者冠状动脉CT血管成像(CT angiography,CTA)中定量特征参数在男女患者间的表现差异。方法:于我院回顾性收集100例冠状动脉粥样硬化患者,其中男性与女性患者分别为53例及47例,且入组的不同性别患者间的冠状动脉一般性危险因素差异无统计学意义。由放射科医师专家组基于CTA分别记录冠状动脉狭窄程度、斑块类型及高风险斑块,达成一致意见,并完成性别亚组对比分析。结果:本研究发现全部入组的冠状动脉粥样硬化患者中,男性冠状动脉狭窄程度≥50%的比例(56.6%)大于女性(38.3%);男性患者出现非钙化斑块的比例(58.5%)高于女性患者(44.7%);男性患者的高危斑块发生率为20.8%,高于女性患者的12.8%。结论:不同性别的冠状动脉粥样硬化患者CTA影像特征存在差异。性别可作为评估冠状动脉粥样硬化的一项相关因素,为疾病的诊断、评估、预测提供指导。Objective:To explore the gender differences in coronary atherosclerotic patients,coronary artery related factors were measured by coronary artery CT angiography(CTA)quantitatively or qualitatively.Furthermore,the differences between male and female patients were compared.Methods:100 patients with coronary atherosclerosis who had no statistical differences of general risk factors were retrospectively enrolled in our hospital.Among them,there were 53 male and 47 female patients,respectively.Two experienced radiologists reviewed the degree of coronary artery stenosis,plaque type,and high⁃risk plaques using CTA,and then reached a consensus.The subgroup analysis between genders was also conducted.Results:The results demonstrated that the proportion of male patients with coronary artery stenosis≥50%(56.6%)was higher than that of female patients(38.3%).The percentage of male patients with non⁃calcified plaques was 58.5%,which was higher than that of female patients(44.7%).The incidence of high⁃risk plaques in male patients was 20.8%,which was higher than that in female patients at 12.8%.Conclusion:The imaging features in CTA of coronary atherosclerotic patients show significant differences between male and female patients.Gender can be treated as a related factor in evaluating coronary atherosclerosis,providing guidance for disease diagnosis,assessment and prediction.

关 键 词：冠状动脉粥样硬化 CT血管成像 性别差异 

分 类 号：R816.2[医药卫生—放射医学]