e-Speed 电子束计算机体层摄影对冠状动脉粥样硬化心脏病诊断价值.docVIP

e-Speed 电子束计算机体层摄影对冠状动脉粥样硬化心脏病的诊断价值 邹利光( 文 利　孙清荣 王文献 梁开运 雷福章　李龙辉 （本教研室原创，发表于：第三军医大学学报，2006年第一期。wjl上传） 提 要：目的 总结e-Speed电子束CT（electron beam computed tomography, EBCT）冠状动脉检查结果，探讨EBCT冠状动脉造影的图像质量及其对冠心病的诊断价值。方法 疑诊冠心病或健康查体来我院行e-Speed电子束CT冠状动脉检查病例115例，所有受检者均行EBCT平扫，92例行EBCT血管造影检查。结果 冠状动脉钙化积分，60岁以前较低，60岁以后逐渐增高，70岁以后明显增高。EBCT冠状动脉造影检查优良图像为79例（85.9％），不满意图像为13例（14.1％）；根据EBCT冠状动脉造影结果，85.9％病例可做出明确诊断，10.9％病例只能做出大致诊断，3.3％病例不能做出诊断。结论 EBCT对诊断冠状动脉粥样硬化性心脏病有重要价值，EBCT冠状动脉造影在冠状动脉病变诊断和介入治疗筛选方面可部分取代传统的插管法造影检查。 关键词：冠状动脉；心脏病；电子束CT；放射诊断  Diagnostic value of e-Speed electron beam computed tomography in coronary artery disease ZOU Li-guang, WEN Li, SUN Qing-rong, WANG Wen-xian, LIANG Kai-yun, LEI Fu-zhang, LI Long-hui (Department of Radiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China) Abstract: Objective To summarize the examination results of electron beam computed tomography (EBCT) in coronary artery disease (CAD) and its diagnostic value. Methods One hundred and fifteen cases of suspected CAD or health screening were examined with e-Speed EBCT. All cases were examined by plain scan and 92 cases were further examined by EBCT angiography (EBCTA) of coronary artery. Results Coronary artery calcium score was relatively low in the subjects under 60 years old, increased gradually in 60 years old and increased obviously in above 70 years old persons. Image quality of EBCTA was fine in 79 cases (85.9%) and disaffect in 13 cases (14.1%). According EBCTA, diagnosis could be made clearly in 85.9% cases and approximately in 10.9%, in 3.3% cases the diagnosis could not be put out. Conclusion EBCT is of important diagnostic value in CAD. EBCTA could partially replace conventional cathetering coronary artery angiography in the diagnosis of CAD and the case selection for percutaneous transluminal coronary angioplasty. Key words: coronary artery; heart disease; electron beam computed tomography; diagnostic radiology 电子束CT (electron beam computed tomography,