64层CT血管成像在冠状动脉弹性研究中的价值.docVIP

64层CT血管成像在冠状动脉弹性研究中的价值 放射学实践2010年12月第25卷第12期RadiolPractice,Dec201,5No一 .12 64层CT血管成像在冠状动脉弹性研究中的价值 许开元,胡国栋,王彬,朱浪涛,何祥发,肖丹丹 ? 胸部影像学? 【摘要】目的:评价64层螺旋CT血管成像在测量和计算冠状动脉相关弹性参数中的价值.方法:选取20O8年9 月~2009年】0月本院行冠状动脉CT血管成像检查患者资料共86例,通过测量冠状动脉344节段在收缩期,舒张期的 动脉管径变化,分析冠状动脉各段相关动脉弹性参数及其与脉压及平均动脉压的相关性,分析冠状动脉顺应性与收缩压 的相关性,包括左主干,左前降支,左回旋支及右冠状动脉.结果:冠状动脉各支血管顺应性参数间存在差别,FriedmanT 检验,P一0.001,冠状动脉各支血管顺应性与脉压及平均动脉压呈负相关,其余冠状动脉弹性相关参数与脉压及平均动脉 压相关性较差;冠状动脉顺应性与收缩压呈负相关(Plt;0.05).结论:64层螺旋CT血管成像可作为一种冠状动脉管腔测 量的有效方法,冠状动脉顺应性可较好反映正常冠状动脉血管壁弹性. 【关键词】冠状动脉;体层摄影术,x线计算机;冠状血管造影术 【中图分类号】R814.42【文献标识码】A【文章编号】1000—03l3(2O10)12l349—05 Valueof64一sliceCTangiographyinstudyofcoronaryarteryelasticityXUKai—yuan,HUGuodong,WAN(;Bin,eta1.De— partmentofRadiology,DongguanKanghuaHospital,Guangdong523080,P.R.China [Abstract]Objective:Toexplorethevalueof64一slicespiralCI,angiographyinevaluationofcoronaryarteryelasticity bymeasuringandcalculatingcoronaryarteryelasticparameters.Methods:64一slicespiralCTangiographywasperformedin 86patientsfromSeptember2008tOOctober2009.Diameterchangesof344segmentofcoronaryarteryinthesystolicand diastolicphasesweremeasuredbyCTcoronaryangiography.Correlationsbetweencoronaryarteryelasticparametersand pulsepressureandmeanarterialpressurewereanalyzed,andcorrelationsbetweencoronaryarterycomplianceandsystolic bloodpressurewereanalyzed,includingtheleftmainartery,leftanteriordescendingartery,leftcircumflexarteryandright coronaryartery.Results:CoronaryarterycompliancesinthevariousbranchesweredifferentandP一0.001(Plt;0.05)in theFriedmanTest.coronaryarterycompliancesandpulsepressureandmeanarterialpressurewerenegativelycorrelated. Coronaryarterycompliancesandsystolicbloodpressurewerenegativelycorrelated(Plt;O.05).Theremainingcoronaryar teryelasticparametersandpulsepressureandmeanarterialbloodpressurewerelessrelevant.Conclusion:64slicespiralCT angiographycanbeusedasaneffectivemeansofmeasuringcoronarylumen.Coronaryarterycompliancecanreflectthee lasticityofnormalcoronaryvesselwalls. [Keywords]Coronaryartery;Tomography,Xrayco