选择性冠状动脉造影308例分析  

Investigation of selective coronary artery angiography in 308 cases

作　　者：曾文彦[1] 武兴杰[1] 庄娘妥[1] 梁志荣[1] 黄益[1] 邓军[1] 

机构地区：[1]广州铁路中心医院放射科,广东广州510080

出　　处：《现代医学》2003年第5期287-289,共3页Modern Medical Journal

摘　　要：目的　探讨冠心病冠状动脉造影 (CAG)的X线表现及左室壁瘤的形成与冠脉病变支数、侧支循环的关系。方法　用Judkins法行选择性左、右冠脉造影及左室造影 30 8例 ,观察冠脉及左室病变的形态、范围和程度等 ,进行统计学分析。结果　 30 8例冠脉造影中 ,冠心病 179例 (5 8.1%) ,其中单支血管病变 82例 (45 .8%)、双支 5 6例 (31.3%)、3支 35例 (19.6 %)、4支 6例 (3.4%)。共累及 32 3支血管 ,其中前降支 (LAD ) 139支 (43.0 %)、回旋支 (LCX) 72支 (2 2 .3%)、右冠状动脉 (RCA) 95支 (2 9.4%)、左主干 (LM ) 17支 (5 .3%)。出现侧支循环 2 7例、真性室壁瘤 5 2例 ,其中同时出现侧支和室壁瘤的 2 2例 ;左室附壁血栓 7例 ,二尖瓣反流 5例 ,左房血栓 2例。结论　CAG能直接显示冠脉病变的形态、范围和程度 ,冠心病室壁瘤的形成与冠脉病变支数、侧支循环有较密切的关系。Objective To evaluate the angiographic findings of coronary heart disease,and to study the correlativity both between ventricular aneurysm with quantity of the abnormal coronary artery and between ventricular aneurysm with collateral circulation in coronary heart disease.Methods The selective coronary angiography and the left ventricular angiocardiography were performed in 308 cases.Results The abnormalities of coronary arteries were demonstrated in 179 of 308 patients,including one branch of coronary artery involved in 82 patients(45.8%),two branches in 56(31.3%),three branches in 35(19.6%),four branches in 6(3.4%).There were total 323 branches of coronal arteries involved,they were anterior descending coronary arteries(139 branches,43%),right coronal arteries(95 branches,29.4%),circumflex coronary arteries(72 branches,22.3%),left main coronaries(17 branches,5.3%).52 ventricular aneurysms and 27 collateral circulations were found in 308 cases.22 cases which had demonstrated ventricular aneurysm with collateral circulation together were found.Conclusion The selective coronary artery angiography can directly demonstrate the lesions of coronary heart disese.There is correlativity both between ventricular aneurysm with quantity of the abnormal coronary artery and between ventricular aneurysm with collateral circulation in coronary heart disease.

关 键 词：选择性冠状动脉造影 X线表现 左心室造影 冠心病 诊断 

分 类 号：R816.2[医药卫生—放射医学]