摘要
目的探讨利用能谱CT冠状动脉成像对心肌桥-壁冠状动脉及分型的诊断价值。方法对我院2016年1月至4月间怀疑冠心病的405例患者的能谱CT冠脉动脉成像的图像及临床资料进行分析,记录心肌桥-壁冠状动脉并对其分型。结果 405例患者均行能谱CT冠脉动脉成像,发现心肌桥-壁冠状动脉105例,检出率为25.9%(105/405),其中纵深型35例,浅表型70例;左前降支近端2例,左前降支中段50例,左前降支远段18例,第一对角支5例,中间支3例,左回旋支24例,右冠状动脉3例,近段血管粥样硬化40例(纵深型32例,浅表型8例)。结论能谱CT冠脉动脉成像能清晰准确显示心肌桥-壁冠状动脉与心肌关系、心肌桥的厚度并能够准确分型、壁冠状动脉的长度,为临床治疗提供更准确、更有价值的信息。
Objective To discussion on the use of spectrum myocardial bridge coronary artery CT imaging -coronary artery wall and the diagnostic value of typing. Methods Our hospital from January to April 2016 suspected CAD 405 patients with coronary artery imaging spectroscopy CT images and clinical data analysis, recording of my-ocardial bridge-mural coronary artery and its type. Results Four hundred and five cases of patients underwent CT coronary artery imaging spectroscopy and found that myocardial bridge-mural coronary artery 105 cases, the detection rate was 25.9% （105/405）, wherein the depth of 35 cases, 70 cases of superficial, left anterior descending artery two cases of proximal left anterior descending artery middle of the 50 cases, 18 cases of distal left anterior descending artery, first diagonal branch in 5 cases, 3 cases of intermediate branch, left circumflex artery in 24 cases, right coro-nary artery in 3 cases, proximal atherosclerotic vascular sclerosis 40 cases （depth type 32 cases, 8 cases of superfi-cial）. Conclusion Spectrum CT coronary artery imaging can clearly and accurately display myocardial bridge-mural coronary artery and myocardial relationship, the thickness of the myocardial bridge and accurately typing, the length of the wall of the coronary artery, provide more accurate and valuable information for clinical treatment.
出处
《实用医学影像杂志》
2016年第5期433-436,共4页
Journal of Practical Medical Imaging
作者简介
通信作者：张凤翔．Email：zc890308@sina．com
