双源CT在探讨冠状动脉病变规律中的应用.docVIP

精品论文 参考文献 双源CT在探讨冠状动脉病变规律中的应用 刘 帆 李运奇 刘金岭（河南省南阳市第二人民医院CT室 河南南阳 473056） 【中图分类号】R54 【文献标识码】A 【文章编号】1672-5085 (2010)02-0040-03 【摘要】 目的 探讨冠状动脉病变的一般规律，为相关专业提供研究及交流的数据基础，为临床诊疗提供帮助。方法 利用西门子双源CT和非离子型碘造影剂对来诊的883人进行冠状动脉CT成像，对每位病人的图像进行多种方式重建和分析，得出准确的诊断结果。最后，对所选病人的部分个人资料及诊断结果进行统计分析，总结出其内在的规律性。结果 从CTA的角度，用大量的案例再次证明了冠状动脉的病变与年龄、性别存在着明确的相关性；并进一步发现冠状动脉在病变类型、病变分布及病变程度上都存在一定的规律性。结论 冠脉病变在年龄、性别上存在着明显的规律性，冠脉各节段发生病变的几率也明显不同，三支冠状动脉的近段发生病变的几率明显高于中、远段冠脉，其中又以前降支近段更明显。 【关键词】 双源CT（DSCT） 冠状动脉 CTA（CT血管造影） 重建 斑块 狭窄 伪影 【Abstract】 Objective：To explore the general rules of coronary artery disease,to provide the data base of research and exchange to relevant study, and help for clinical. Methods：We have carried out on 883 coronary CT Angiography with the Siemens dual-source CT and non-ionic，water soluble iodine contrast medium. And then ， we carried out a variety of ways reconstruction and analysis with images of each patient, and arrived at an accurate diagnosis .Finally, we did a lot of statistical analysis with the basic situation and the diagnostic results of each patient, and summarized its inherent egularity. Result：From the CTAs point of view, with a large number of cases, we have proved once again that there is a clear correlation between the coronary artery lesions and age, sex . We found that there is a certain regularity of the type,distribution and degree of coronary artery disease further. Conclusion：Coronary lesions in age,sex,that there are obvious regularity, coronary lesions of various segments of the chance of significantly different,3 of proximal coronary artery lesions was significantly higher than chance,the distal coronary artery,of which more obvious before the descending branch of the proximal. 【Key words】 Dual-source CT (DSCT) Coronary artery CTA (CT angiography) Reconstruction Plaque Stenosis Artifacts 随着人们饮食结构和生活习惯的改变，冠心病的发病率呈逐年增高趋势，相应的检查设备也不断出现，检查手段越来越多样化，诊断技术不断成熟和完善。心电图只能从心脏电生理方面间接反映心肌的缺血状况，进一步推测相应冠脉的病变程度，但毕竟缺乏相应的直观印象和具有说服力的客观