摘要
目的胸痛的病众多,临床对胸痛鉴别困难,文中旨在评价双源CT血管成像(dual source computed tomographyangiography,DSCTA)在胸痛患者病因诊断中的价值。方法回顾性分析2009年5月至2011年11月期间以胸痛为主诉并行CT血管成像(computed tomography angiography,CTA)的患者,记录冠状动脉疾病、主动脉疾病以及肺动脉疾病发生率。结果 418例患者纳入研究,行冠状动脉CT成像(coronary artery computed tomography angiography,CTCA)292例,主动脉CTA89例,肺动脉CT成像(pulmonary artery computed tomography angiography,CTPA)15例,CTCA联合CTPA 2例,CTCA联合主动脉CTA17例,CTPA联合主动脉CTA3例。209例患者有冠状动脉疾病,47例患者有主动脉疾病,5例出现肺栓塞(pulmonaryembolism,PE)。1例患者同时有急性冠状动脉综合征(acute coronary syndrome,ACS)和PE,3例患者同时有ACS和主动脉疾病,1例同时患有主动脉疾病和PE。其他162例患者未发现冠状动脉、主动脉或肺动脉病变。结论 DSCTA在提示胸痛病因中有重要价值,其中ACS是最常见的胸痛原因;主动脉疾病次之,PE最低。
Objective Clinicians have difficulty in identifying the reasons of chest pain because of the variety. This study aimed at evaluating the value of dual source computed tomography angiography （DSCTA） in finding the causes of chest pain. Methods We retrospectively analyzed the data of patients with chest pain undergoing DSCTA from May 2009 to November 2011, and recorded the prevalence of coronary, aortic and/or pulmonary artery diseases. Results A total of 418 patients were included, 292 patients underwent coronary artery DSCTA （CTCA）, 89 aortic DSCTA （CTA） and 15 pulmonary artery CTA （CTPA）. And 2 patients underwent CTCA as well as CTPA, 17 underwent CTCA and CTA, while 3 underwent CTPA and CTA. We found that 209 （209/292） patients had coronary artery diseases, while 47 （47/89） and 5 （5/15） patients had aortic and pulmonary artery diseases （pulmonary embolism）, respectively. The other 162 patients had no coronary, aortic or pulmonary artery diseases. Conclusion DSCTA plays a key role in differentiating the causes of chest pain, and acute coronary syndrome is the most common cause of chest pain, fo｜lowed by aortic diseases and pulmonary embolism.
出处
《医学研究生学报》
CAS
北大核心
2012年第12期1281-1285,共5页
Journal of Medical Postgraduates
关键词
胸痛
急性冠状动脉综合征
主动脉夹层
肺栓塞
双源CT
Chest pain
Acute coronary syndrome
Aortic dissection
Pulmonary embolism
Dual source CT
