回顾1000例冠状脉造影讨论心肌桥对粥样硬化的作用.docVIP

回顾1000例冠状动脉造影讨论心肌桥对粥样硬化的作用 陶黎1 曾勇明1 向睿2 重庆医科大学附属第一医院 1.放射科 2.心内科 【摘要】目的 探讨心肌桥（myocardial bridge,MB）在冠状动脉造影（coronary arteriography,CAG）中的检出率及其形态学特征，明确MB与邻近冠状动脉粥样硬化的关系。方法 对1000例拟诊冠心病患者行CAG，观察MB的检出率、位置、长度及壁冠状动脉（mural coronary artery, MCA）收缩期狭窄程度；观察记录MCA近、远端2cm以内血管及MCA本身有无动脉粥样硬化（atherosclerotic, AS）。结果 （1）MB检出率为15%（150/1000），以前降支中段最多见（65%，104/160），MB平均长度为（20.84±8.56）mm。MCA收缩期平均狭窄程度为（34.65±10.32）%；MCA收缩期狭窄程度与MB的长度无明显相关性（r=0.174，P＞0.05）。（2）MCA发现明显AS斑块25例，相邻2cm以内冠状动脉段发现AS斑块55例，其中近端40例，远端15例。近端AS斑块发生率明显高于MCA及远端（=4.28，P＜0.05； =12.77，P＜0.05）。结论 MB与冠状动脉粥样硬化存在一定的相关性。 【关键词】心肌桥；壁冠状动脉；冠状动脉造影 Review 1000 cases of myocardial bridge in coronary angiography in discussions on role of atherosclerosis TAO Li1，ZENG Yongming, Xiang Rui2 1.Department of Radiology, 2.Department of Cardiology, The First Affiliated Hospital, Chongqing Medical University 400016,China Chongqing 【Abstract】 Objective To investigate the detection rate and morphological features of myocardial bridge(MB) with coronary arteriography ,and to assess the relationship between MB and coronary atherosclerosis. Methods Totally one thousand patients with suspected coronary artery disease underwent CAG examination. The detection rate, location and length of MB as well as the degree of systolic compression of MCA were observed and measured. The presence or absence of atherosclerosis of MCA and in the coronary artery 2 cm distance to MB were recorded. Results (1)150 cases of MB among 1000 patients(15%) were detected on CAG images. The mid segment of LAD was the most common location of MB(65%,104/160). Mean MB length was (20.84?.56) mm. The mean degree of systolic compression was (34.65?0.32)%. MCA systolic stenosis degree and the length of the MB no obvious correlation (r = 0.174, P 0.05).(2)25 case of atherosclerotic were found in MCA. In a cm distance proximal or distal to the MB, atherosclerotic plaques were found in 55, including 40 proximal segments and 15 distal segments. The incidence of atherosclerotic of the proxim