CAJ | 학술논문

目的：分别分析心外膜脂肪(epicardial adipose tissue，EAT)、心周脂肪(Pericardial adipose tissue, PAT)与冠状动脉粥样硬化之间的关系，比较其优劣。方法对104例受检者进行CTA检查，在钙化积分图像基础上测量心外膜脂肪和心周脂肪体积，分析两者之间的关系及各自与冠状动脉粥样硬化间的关系。结果 EAT体积与PAT体积具有显著相关性(r=0.877,P<0.01)；两者与冠状动脉粥样硬化Gensini积分间均具有相关性(P<0.05)；2支、3支冠脉病变的EAT、PAT体积大于单支病变(P<0.05)，2支、3支之间差异无统计学意义(P>0.05)；ROC曲线提示两者对冠状动脉粥样硬化的诊断价值相仿。结论 EAT体积与PAT体积显著相关，对冠状动脉粥样硬化均具有一定的诊断价值。
목적：분별분석심외막지방(epicardial adipose tissue，EAT)、심주지방(Pericardial adipose tissue, PAT)여관상동맥죽양경화지간적관계，비교기우렬。방법대104례수검자진행CTA검사，재개화적분도상기출상측량심외막지방화심주지방체적，분석량자지간적관계급각자여관상동맥죽양경화간적관계。결과 EAT체적여PAT체적구유현저상관성(r=0.877,P<0.01)；량자여관상동맥죽양경화Gensini적분간균구유상관성(P<0.05)；2지、3지관맥병변적EAT、PAT체적대우단지병변(P<0.05)，2지、3지지간차이무통계학의의(P>0.05)；ROC곡선제시량자대관상동맥죽양경화적진단개치상방。결론 EAT체적여PAT체적현저상관，대관상동맥죽양경화균구유일정적진단개치。
Objective To analyze the relationship between epicardial adipose tissue (EAT) and pericardial adipose tissue (PAT) with coronary atherosclerosis. Methods 104 participants were given CTA inspection. EAT and PAT were measured according to the images of calcification score, and the relationships between them as well as between coronary atherosclerosis with EAT and PAT were analyzed. Results There was a significant correlation between EAT volume and PAT volume; they had a certain relationship with Gensini scores-the scores of coronary atherosclerosis;in patients with two or three branches of coronary artery lesions, the EAT and PAT volumes were larger than that in patients with single lesion, and there was no statistically significant difference between the two and three branches; ROC curve suggested that the diagnostic values of EAT and CAT on coronary atherosclerosis were similar. Conclusion EAT volume is significantly associated with PAT volume, and both of them have a certain diagnosis value to the diagnosis of coronary atherosclerosis.