中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
1期
65-68
,共4页
岑锦明%梁茜%熊卿圆%杨希立%许兆延%梅百强%蔡炜标%柯媛媛
岑錦明%樑茜%熊卿圓%楊希立%許兆延%梅百彊%蔡煒標%柯媛媛
잠금명%량천%웅경원%양희립%허조연%매백강%채위표%가원원
前列腺增生%冠状动脉疾病%动脉粥样硬化%超声,血管内
前列腺增生%冠狀動脈疾病%動脈粥樣硬化%超聲,血管內
전렬선증생%관상동맥질병%동맥죽양경화%초성,혈관내
Prostatic hyperplasia%Coronary artery disease%Atherosclerosis%Ultrasonography,interventional
目的 探讨良性前列腺增生(BPH)患者冠状动脉(冠脉)粥样斑块病变特点及其临床意义. 方法 入选已接受冠状动脉造影术(CAG)患者91例(病变102处),其中BPH组50例,对照组41例,血管内超声(IVUS)对患者病变进行定性和定量分析,测量靶病变的外弹力膜横截面积(EEM-CSA)、最小管腔面积(MLA)、斑块面积(PA)、斑块负荷(PB)以及参考节段外弹力膜横截面积(REEM-CSA)、管腔横截面积(RMAL)、参考节段斑块面积(RPA)、参考斑块负荷(RPB). 结果 IVUS与CAG比较,检出血管面积狭窄率高[(58.2±7.1)％比(55.9±5.2)％,P＜0.01].BPH组冠脉内软斑块、偏心斑块和正性重构多见,而钙化少见；BPH组与对照组比较,MLA[(5.61±0.96)mm2比(6.06±0.75)mm2,P＜0.05]和RMAL[(9.26±1.05)mm2比(10.02±1.10)mm2,P＜0.05]减少；而EEM CSA[(14.51±1.10)mm2比(13.37±1.02)mm2]、PA[(8.90±1.24)mm2比(7.31±1.04)mm2]、PB[(61.26±6.53)％比(54.5β±5.69)％]、RPA[(4.26±1.15)mm2比(3.73±1.33)mm2]、RPB[(31.30±8.37)％比(26.81±8.75)％]增加(均P＜0.05). 结论 IVUS对评价冠脉轻中度病变有较高价值；有心肌缺血证据的BPH患者需进一步排除冠心病.
目的 探討良性前列腺增生(BPH)患者冠狀動脈(冠脈)粥樣斑塊病變特點及其臨床意義. 方法 入選已接受冠狀動脈造影術(CAG)患者91例(病變102處),其中BPH組50例,對照組41例,血管內超聲(IVUS)對患者病變進行定性和定量分析,測量靶病變的外彈力膜橫截麵積(EEM-CSA)、最小管腔麵積(MLA)、斑塊麵積(PA)、斑塊負荷(PB)以及參攷節段外彈力膜橫截麵積(REEM-CSA)、管腔橫截麵積(RMAL)、參攷節段斑塊麵積(RPA)、參攷斑塊負荷(RPB). 結果 IVUS與CAG比較,檢齣血管麵積狹窄率高[(58.2±7.1)％比(55.9±5.2)％,P＜0.01].BPH組冠脈內軟斑塊、偏心斑塊和正性重構多見,而鈣化少見；BPH組與對照組比較,MLA[(5.61±0.96)mm2比(6.06±0.75)mm2,P＜0.05]和RMAL[(9.26±1.05)mm2比(10.02±1.10)mm2,P＜0.05]減少；而EEM CSA[(14.51±1.10)mm2比(13.37±1.02)mm2]、PA[(8.90±1.24)mm2比(7.31±1.04)mm2]、PB[(61.26±6.53)％比(54.5β±5.69)％]、RPA[(4.26±1.15)mm2比(3.73±1.33)mm2]、RPB[(31.30±8.37)％比(26.81±8.75)％]增加(均P＜0.05). 結論 IVUS對評價冠脈輕中度病變有較高價值；有心肌缺血證據的BPH患者需進一步排除冠心病.
목적 탐토량성전렬선증생(BPH)환자관상동맥(관맥)죽양반괴병변특점급기림상의의. 방법 입선이접수관상동맥조영술(CAG)환자91례(병변102처),기중BPH조50례,대조조41례,혈관내초성(IVUS)대환자병변진행정성화정량분석,측량파병변적외탄력막횡절면적(EEM-CSA)、최소관강면적(MLA)、반괴면적(PA)、반괴부하(PB)이급삼고절단외탄력막횡절면적(REEM-CSA)、관강횡절면적(RMAL)、삼고절단반괴면적(RPA)、삼고반괴부하(RPB). 결과 IVUS여CAG비교,검출혈관면적협착솔고[(58.2±7.1)％비(55.9±5.2)％,P＜0.01].BPH조관맥내연반괴、편심반괴화정성중구다견,이개화소견；BPH조여대조조비교,MLA[(5.61±0.96)mm2비(6.06±0.75)mm2,P＜0.05]화RMAL[(9.26±1.05)mm2비(10.02±1.10)mm2,P＜0.05]감소；이EEM CSA[(14.51±1.10)mm2비(13.37±1.02)mm2]、PA[(8.90±1.24)mm2비(7.31±1.04)mm2]、PB[(61.26±6.53)％비(54.5β±5.69)％]、RPA[(4.26±1.15)mm2비(3.73±1.33)mm2]、RPB[(31.30±8.37)％비(26.81±8.75)％]증가(균P＜0.05). 결론 IVUS대평개관맥경중도병변유교고개치；유심기결혈증거적BPH환자수진일보배제관심병.
Objective To study the characteristics and clinical significance of the coronary plaques in patients with benign prostatic hyperplasia (BPH).Methods A total of 91 patients undergoing coronary artery angiography (CAG) were selected and divided into two groups according to with or without BPH,56 cases in BPH group,46 cases in control group.The qualitative and quantitative characteristics of 102 lesions area were analyzed by intravascular ultrosound (IVUS),including external elastic membrane-cross-sectional area (EEM-CSA),minimal lumen area (MLA),plaques area (PA),plaques burden (PB),reference external elastic membrane-cross-sectional area (REEM-CSA),reference minimal lumen area (RMAL),reference plaques area (RPA) and reference plaques burden (RPB).Results IVUS showed a higher rate of area stenosis than did the CAG [(58.2± 7.1)％ vs.(55.9 ± 5.2)％,P＜0.01].BPH group had more soft plaques,eccentric plaques,positive remodeling and less calcified than did the control group (P＜0.05).The MLA and RMAL of BPH group were smaller than those of control group:MAL [(5.61±0.96) mm2 vs.(6.06±0.75) mm2,P＜0.05],RMAL[(9.26±1.05) mm2 vs.(10.02±1.10) mm2,P＜0.05]； while the EEM-CSA,PA,PB,RPA,RPB were larger than those of control group:EEM-CSA[(14.51±1.10)mm2 vs.(13.37±1.02)mm2],PA[(8.90±1.24) mm2 vs.(7.31±1.04) mm2],PB[(61.26±6.53)％ vs.(54.53±5.69)％],RPA[(4.26±1.15) mm2 vs.(3.73±1.33) mm2],RPB [(31.30±8.37) ％ vs.(26.81±8.75) ％,P＜0.05].Conclusions IVUS has a higher value on evaluation of mild to moderate coronary artery stenosis.Evidence of myocardial ischemia in patients with BPH needs further excludeing coronary heart disease.
