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宝石能谱ct冠脉成像在隐匿型冠心病冠状动脉粥样斑块性质诊断中的价值
英文缩略词表
DiagnosticapplicationofGemstonespiralCTinSilence
coronaryheartdiseasecoronaryartery
plaqueproperties
Abstract
Objective: By exploring the diagnosti application of 64 slice spiral CT in latent
coronary heart disease coronary artery plaque properties, to provide evidence for
clinicaldiagnoseandtreatment.
Methods:360patientswithmyocardialischemiaandlatentcoronaryheartdiseasein
ourhospitalfromJune2013toJune2015were selected,andalltheselectedpatients
were performed 64 slice spiral CTcoronary artery imaging, including 155cases of
coronary artery stenosis, and a ompanied by different properties atheromatous
plaque. Coronary artery stenosis situation,plaque type andnumber ofplaque were
observedandanalyzed.
Results: All the coronary artery stenoseswere mild stenosis and moderate,mainly
concentrated in the left main and left anterior descending branch (35.48% and
37.42%respectively).Hardplaquewasthemostcommonplaque(75.43%),followed
by mixedplaques and softplaques(16.19% and 8.38%respectively). Four coronary
with hard plaques simultaneously were the most common condition (29.03%), the
condition of hard and soft plaque coexist were(29.03%) in four coronary artery ;
hard plaque with softplaque, mixed plaque simultaneouslywas 14.84%,and there
wasnopatientswithpuremixedplaquesorsoftplaque.
Conclusions: Coronary artery stenosis of patients with latent coronary heart
disease were mainly mild stenosis and moderate stenosis, coronary artery plaques
were mainly hard plaques. Sixty-four slice spiral CT could a urately evaluate
plaque properties in latent coronary heart disease , and has high application value
clinicalwo
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