宝石CT对冠状动脉钙化斑块与邻近非钙化斑块的观察.docVIP

宝石CT对冠状动脉钙化斑块与邻近非钙化斑块的观察 　　[摘要] 目的 探讨宝石CT冠状动脉造影（CTCA）观察冠状动脉钙化斑块所致冠状动脉狭窄的程度与邻近出现非钙化斑块的情况。 方法 回顾性分析29例无糖尿病、高血脂患者宝石CT的CTCA及临床相关资料，观察钙化斑块并测量其所致的管腔狭窄程度，以及邻近区域非钙化斑块的分布特点并测量其与钙化斑块间的距离。 结果 29例患者共显示47个钙化斑块，导致管腔轻、中、重度狭窄的个数分别为20、20、7个。25个钙化斑块邻近区域伴有非钙化斑块，其中，致管腔轻、中、重度狭窄的钙化斑块个数分别为5、13、7个。轻、中、重3组中伴非钙化斑块形成占25%、65%、100%，组间比较差异有统计学意义（χ2=13.664，P 0.01）。测量伴非钙化斑块形成的轻、中、重度狭窄3组中非钙化斑块至钙化斑块的距离为分别为（1.86±0.56）、（0.88±0.47）、（0.34±0.29） mm，组间比较差异有统计学意义（F = 16.735，P 0.01）。 结论 ①宝石高分辨CT和CardlQ Xpress软件包对各种类型的冠状动脉斑块能很好地进行观察；②随着钙化斑块狭窄程度的增加，其后方非钙化斑块的形成也呈增加趋势，钙化斑块导致的狭窄程度越重，非钙化斑块越容易形成；③对于不同狭窄程度的钙化斑块后方重点观察的区段亦有不同，确定合理区段有助于避免漏诊小的非钙化斑块。 　　[关键词] 宝石CT；CT冠状动脉造影；冠状动脉钙化斑块；冠状动脉非钙化斑块 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-4721（2013）06（c）-0012-03 　　Observation of spectral CT imaging on coronary calcified plaques and near non calcified plaque 　　WU Jiang ZHAO Weidong▲ NIU Xiaofeng CAI Lin 　　Department of Radiology， the Second Hospital Affiliated to Shanxi Medical University， Taiyuan 031000， China 　　[Abstract] Objective To explore the situation of coronary artery stenosis degree induced by coronary calcified plaque with near the emergence of non-calcified plaque using Spectral CT. Methods 29 patients clinically relevant information without diabetes， high blood lipids in patients underwent spectral CT were analyzed retrospectively， the plaque calcification and the adjacent areas non-calcified plaque distribution characteristics were observed and the luminal stenosis degree induced by plaque calcification， the distance between calcification and non-calcified plaque were measured. Results 47 calcified plaques was showed in 29 patients， resulting in mild， severe stenosis of respectively 20， 20， 7. 25 calcified plaques which caused the lumen light， medium and severe stenosis calcified plaque number were 5， 13， 7 were associated with non-calcified plaque. The percentage of non-calcified plaque formation in three groups was 25%， 65%， 100%， there was statistically significant difference compared between the two gr