血管内超声对冠状动脉弥漫长病变的诊断价值.pdfVIP

《现代仪器与医疗》 2013 年 第 19 卷 第 4 期 影像介入 血管内超声对冠状动脉弥漫长病变的诊断价值 Intravascular ultrasound in the diagnosis of coronary artery diffuse long lesions 摘  要  目的 探讨血管内超声(IVUS ）对冠状动脉弥漫长病变的临床应用价值。 方法 前瞻性收集2011 年5 月－2012 年03 月于我院经冠状动脉造影(CAG ）证 实存在冠脉弥漫长病变的患者51 例, 同时对这51 例患者进行IVUS 检查, 对比 分析CAG 和IVUS 对冠脉弥漫长病变的诊断价值。结果 IVUS 评价的弥漫性斑 块累及的长度及狭窄率明显高于CAG, 分别为39.26 ±6.32mm :30.36 ±7.41mm ； 69.75% ±5.43%:58.29% ±6.18%, 差异具有统计学意义(P 0.05 ）, 并且IVUS 还可以 清晰显示斑块的形态与性质。结论 对于冠脉内弥漫性长病变,CAG 低估病变长度 及狭窄程度, 而IVUS 可以更准确地判断冠状动脉弥漫长病变的性质和严重程度, 与 刘永兴*  彭万忠  徐泽升 袁永刚  张建刚  戴士鹏 CAG 相比具有更重要的临床价值。 Liu Yongxing Peng Wanzhong 关键词  血管内超声 冠状动脉造影 弥漫长病变 Xu Zesheng Yuan Yonggang Zhang Jiangang Dai Shipeng Abstract Objective This study sought to evaluate the clinical value of IVUS in the long diffuse coronary lesion. Methods Between May 2011 and March 2012,We prospectively  (河北省沧州市中心医院心内二 collected 51 cases ,with long diffuse coronary stenosis evaluated by CAG ,meanwhile 科  沧州  061001） IVUS was applied to these patients .By comparison with CAG ,the value of IVUS in ( Department of cardiology, CangZhou diagnosis was appraised. Results The length and stenosis rate evaluated by IVUS are central Hospital, CangZhou 061001) obviously higher than by CAG, 39.26±6.32mm vs 30.36±7.41mm; 69.75%±5.43% vs 58.29%±6.18%,and the differences have statistical significance(P0.05),and the appearance and character can be displayed clearly by IVUS. Coclusions To the long diffuse coronary