摘要
目的探究多层螺旋CT在心肌桥和壁冠状动脉诊断中的应用价值。方法回顾性分析我院2015年7月至2018年4月收治的180例采用多层螺旋CT诊断疑似冠心病患者的临床资料,所有患者均行冠状动脉血管成像检查。测量并记录患者心肌桥厚度、壁冠状动脉长度、心肌桥和壁冠状动脉检出率及检出处心肌桥和壁冠状动脉的分布结果。结果180例患者通过多层螺旋CT检查,确诊人数为150例,检出率为83.33%。150例冠心病患者通过冠状动脉血管成像发现心肌桥和壁冠状动脉患者75例,85处,其中位于左前降支者占89.4%。心肌桥平均厚度为(4.1±1.3)mm,壁冠状动脉平均长度为(18.6±10.5)mm。结论多层螺旋CT可准确诊断心肌桥和壁冠状动脉,具有较高的检出率,安全性高,操作简易,可作为心肌桥和壁冠状动脉诊断的首选方法,值得进一步推广和应用。
Objective To explore the application value of multi-slice spiral CT in the diagnosis of myocardial bridge and mural coronary artery. Methods The clinical data of 180 patients with suspected coronary heart disease diagnosed by multi-slice spiral CT from July 2015 to April 2018 in our hospital were retrospectively analyzed. All patients underwent coronary angiography. The thickness of myocardial bridge, the length of mural coronary artery, the detection rates of myocardial bridge, mural coronary artery and the distribution of myocardial bridge, mural coronary artery were measured and recorded. Results A total of 180 patients underwent multi-slice spiral CT examination, and 150 cases were confirmed, the detection rate was 83.33%. A total of 75 patients (85 sites) with myocardial bridge and mural coronary artery were found by coronary angiography in 150 patients with coronary artery disease, 89.4% were located in left anterior descending branch. The average thickness of myocardial bridge was (4.1±1.3) mm and the average length of mural coronary artery was (18.6±10.5) mm. Conclusion Multi-slice spiral CT can accurately diagnose myocardial bridge and mural coronary artery. It has high detection rate, high safety and simple operation, which can be used as the preferred method for diagnosis of myocardial bridge and mural coronary artery, and is worth further promotion and application.
作者
朱彬
张继荣
ZHU Bin;ZHANG Ji-rong(Zhouzhi County People's Hospital,Xi'an 710100;the Hospital of Shenmu City,Yulin 719300,China)
出处
《临床医学研究与实践》
2019年第18期137-139,共3页
Clinical Research and Practice
关键词
多层螺旋CT
心肌桥
壁冠状动脉
multi-slice spiral CT
myocardial bridge
mural coronary artery
