我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

多排螺旋CT冠脉成像与冠脉造影对冠心病诊断的对比研究(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第3期
页码:
332-334
栏目:
临床研究
出版日期:
2007-06-01

文章信息/Info

Title:
Comparative study of multislice spiral CT coronary artery imaging and coronary angiography in diagnosis of coronary artery stenosis
作者:
李良1; 夏云峰1; 刘润梅1; 边宏宇2; 翟红霞1; 殷亚昕1; 张津津1
解放军总医院第一附属医院：1.干部病房，2.放射科 北京 100037
Author(s):
LI Liang;  XIA Yunfeng;  LIU Runmei;  BIAN Hongyu;  ZHAI Hongxia;  YIN Yaxin;  ZHANG Jinjin
Department for Veteran Cadres, First Affiliated Hospital, PLA General Hospital, Beijing, 100037, China
关键词:
冠状动脉; 血管造影; 多层面; 螺旋CT
Keywords:
coronary artery;  angiography;  multislice;  spiral computed tomography
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 初步评价多排螺旋CT（MSCT）在冠状动脉成像中的临床应用价值。方法 18例疑诊冠状动脉狭窄患者行MSCT扫描，利用影像曲面重建，3D重建,了解冠状动脉病变情况,并与冠状动脉造影（CAG）对比。结果 18例76支血管同时经MSCT和CAG成像。CAG发现狭窄27支，其中左前降支(LAD)病变11支，回旋支(LCA)病变3支，左主干(LMA)2支，右冠(RCA)病变9支，桥支病变2支。MSCT发现狭窄24支，其中LAD病变11支，LCA病变3支，LMA病变1支，RCA病变7支，桥支病变2支。MSCT与CAG结果相符的病变血管22支，MSCT成像的敏感性为82%(22/27)，特异性96%(47/49)。结论 在控制心率的情况下MSCT可作为冠状动脉狭窄的一种无创筛选检查方法。
Abstract:
AIM To evaluate the clinical value of Multislice Spiral CT (MSCT) coronary artery imaging in the diagnosis of coronary artery stenosis. METHODS MSCT and digital subtraction angiography (DSA) were conducted in 18 patients with suspected coronary artery stenosis. The abnormities of coronary arteries were evaluated from reconstructed threedimensional and maximum intensity projection (MIP) images and the results were compared with those of DSA. RESULTS In the 76 arteries of 18 cases undergoing MSCT and DSA, 27 arteries were diagnosed as stenosis by DSA ［including 11 left anterior descending arteries (LAD), 3 left coronary arteries (LAD), 2 left main coronary arteries (LMA), 9 right coronary arteries (RCA) and 2 coronary artery bypass grafts (CABG)］ and by MSCT 24 arteries were diagnosed as the stenosis ［including 11 LAD, 3 LAD, 1 LMA, 7 RCA, and 2 CABG］. Twentytwo artery stenoses were diagnosed by both MACT and DSA. The sensitivity and specificity of MSCT were 82% (22/27) and 96% (47/49), respectively. CONCLUSION With heart rate controlled, MSCT can be used as a noninvasive screening method in the diagnosis of coronary artery stenosis.

参考文献/References

［1］毛焕元，曹林生.心脏病学［M］.第2版. 北京:人民卫生出版社,2001:1040-1409.

［2］刘朝中. 现代心脏病学［M］.北京:人民军医出版社,2001:548.

［3］夏云峰，罗北捷，刘润梅,等.临床症状及无创检查对老年心肌病和(或)瓣膜病患者并发冠心病诊断真实性的评价［J］.心脏杂志,2004,16（5）:488－489.

［4］赵进委,钱 农,赵建中，等.MSCT冠状动脉成像与冠状动脉造影的对比研究［J］. 中国临床医学,2003,10（5）：642-644.

［5］Ropers D, Baum U, Pohle K, et al. Detection of coronary artery stenoses with thinslice multidetector row spiral computed tomography and multiplanar reconstruction ［J］.Circulation, 2003,107(5):664-666.

［6］刘新疆，于富华，武乐. MSCT在冠状动脉粥样硬化性心脏病中的应用进展［J］ .医学影像学杂志, 2002,12（5）:395－397.

备注/Memo

备注/Memo:
收稿日期：2006-03-15.通讯作者：夏云峰，副主任医师，硕士，主要从事老年医学及冠心病介入治疗研究Email：xiayf3691@sina.com 作者简介：李良，主治医师，学士Email：liliangsj@sohu.com
更新日期/Last Update: