多層螺旋CT在評價(jià)心肌橋-壁冠狀動脈的應(yīng)用
發(fā)布時(shí)間:2017-12-27 04:24
本文關(guān)鍵詞:多層螺旋CT在評價(jià)心肌橋-壁冠狀動脈的應(yīng)用 出處:《安徽醫(yī)藥》2016年07期 論文類型:期刊論文
更多相關(guān)文章: 心肌橋 體層攝影術(shù) 螺旋計(jì)算機(jī)
【摘要】:目的討論多層螺旋CT在評價(jià)分析心肌橋-壁冠狀動脈的臨床價(jià)值和意義。方法回顧性分析經(jīng)冠脈CTA檢查的60例心肌橋患者的冠脈后處理圖像,標(biāo)記其位置、測量壁冠狀動脈的長度,觀察其前后有無合斑塊。按壁冠狀動脈有無斑塊相應(yīng)分為兩組,討論心肌橋長度和斑塊發(fā)生的關(guān)系。結(jié)果 60例患者存在65處心肌橋-壁冠狀動脈,檢出率為30.30%。左前降支心肌橋的發(fā)生率最高,為66.16%,16處壁冠狀動脈前部合并斑塊,而心肌橋的長度和壁冠狀動脈斑塊的發(fā)生無明顯統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論前降支中段心肌橋合并斑塊發(fā)生率高于其他冠脈分支,心肌橋的長度對壁冠狀動脈有無合并斑塊無明顯影響。多層螺旋CT可較好的評價(jià)心肌橋-壁冠狀動脈形態(tài)改變。
[Abstract]:Objective to discuss the clinical value and significance of multislice spiral CT in the evaluation and analysis of myocardial bridge wall coronary artery. Methods the post-processing images of 60 patients with myocardial bridge underwent coronary CTA examination were retrospectively analyzed. The location and location of the coronary artery were measured, and the length of the wall coronary artery was measured. The relationship between the length of myocardial bridge and the occurrence of plaque was discussed in two groups according to the plaque of the coronary artery. Results there were 65 myocardial bridge - wall coronary arteries in 60 cases, the detection rate was 30.30%. The incidence of myocardial bridge in the left anterior descending branch was the highest, 66.16%, 16 in the anterior wall of the coronary artery, and the plaque length in the myocardial bridge was not significantly different from that in the left anterior descending coronary artery (P0.05). Conclusion the incidence of myocardial bridge in the anterior descending branch of the anterior descending branch is higher than that of the other coronary branches. The length of the myocardial bridge has no obvious influence on the plaque of the wall coronary artery. Multislice spiral CT can better evaluate the morphological changes of myocardial bridge wall coronary artery.
【作者單位】: 河北省保定市第二醫(yī)院;
【基金】:河北省保定市科學(xué)技術(shù)研究與發(fā)展指導(dǎo)計(jì)劃(15ZF036)
【分類號】:R816.2;R541
【正文快照】: 心肌橋(myocardial bridge,MB)是指覆蓋在壁冠狀動脈(mural coronary artery,MCA)上的心肌纖維束,二者合稱心肌橋-冠狀動脈(MB-MCA),它被廣泛認(rèn)為是冠脈的一種發(fā)育異常。隨著影像學(xué)發(fā)展和認(rèn)識的不斷深入,尤其是血管造影技術(shù),比如冠脈CT血管造影(CTA)、冠脈造影(CAG)等,對此類,
本文編號:1340245
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