CT血流储备分数对行妇科手术冠心病患者术前冠脉评估决策的影响  

Coronary CT angiography derived fractional flow reserve for patients with coronary heart disease who undergo gynecological surgery impact of coronary evaluation decision

作　　者：唐丽 包照亮[1] 赵赫 郭雯[2] 宋现涛[2] 张军[1] TANG Li;BAO Zhao-liang;ZHAO He;GUO Wen;SONG Xian-tao;ZHANG Jun(Department of Obstetrics and Gynecology,Cardiovascular Critical Obstetrics and Gynecology Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;不详)

机构地区：[1]首都医科大学附属北京安贞医院妇产科心血管重症妇产医学中心,北京100029 [2]首都医科大学附属北京安贞医院心脏内科中心,北京100029

出　　处：《中国实用妇科与产科杂志》2025年第3期369-372,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：医企共研-科技成果培育专项(KCGY202306)。

摘　　要：目的探讨CT血流储备分数(CT-FFR)对行妇科手术的冠心病患者术前冠脉评估决策的影响。方法回顾性分析2018年1月至2023年4月就诊于北京安贞医院妇科行妇科手术的167例合并冠心病患者的临床资料。对比无CT-FFR结果时术前的冠脉评估决策和加入CT-FFR结果后术前的冠脉评估决策变化。结果A组:167例患者中有28例患者术前行冠脉造影,占比16.77%;B组:会诊专家在加入CT-FFR结果后,158例患者会诊(有9例因搭桥或图像质量问题无法分析),有13例患者需进一步行冠脉造影,占比8.23%。A、B组对比,差异有统计学意义(P<0.05)。结论CT-FFR在评估冠脉方面兼具解剖学和功能学两方面能力,可识别冠脉特异性缺血,一定程度上减少冠脉造影的介入创伤。在合并冠心病的患者中,CT-FFR对妇科手术术前冠脉评估决策具有重要影响,是冠心病患者妇科手术前有效的评估冠脉的方法。Objective To investigate the effect of CT fractional flow reserve fraction(CT-FFR)on the decision-making of coronary artery evaluation before gynecological surgery in patients with coronary heart disease.Methods The clinical data of 167 patients with coronary heart disease receiving gynecological surgery in Beijing Anzhen Hospital from January 2018 to April 2023 were analyzed retrospectively.The preoperative coronary evaluation decisions without CT-FFR results and the preoperative coronary evaluation decisions after adding CT-FFR results were compared.Results Group A:28 out of 167 patients underwent coronary angiography before operation,accounting for 16.77%;group B:after adding the CT-FFR results by consulting experts,158 patients underwent consulatation(9 patients could not be analyzed due to bypass or image quality problems),and 13 patients needed further coronary angiography,accounting for 8.23%.There was significant difference between group A and group B(P<0.05).Conclusions CT-FFR has both anatomical and functional capabilities in the evaluation of coronary artery,which can identify specific ischemia of coronary artery and reduce the interventional trauma of coronary angiography to some extent.In patients with coronary heart disease,CT-FFR has an important influence on the decision-making of coronary artery evaluation before gynecological surgery,and it is an effective method to evaluate coronary artery before gynecological surgery.

关 键 词：CT血流储备分数 冠心病 妇科手术 冠脉术前评估 

分 类 号：R713.1[医药卫生—妇产科学]