医学影像学杂志
醫學影像學雜誌
의학영상학잡지
Journal of Medical Imaging
2015年
9期
1584-1586
,共3页
刘天壤%任方远%李武%徐海杰%张赐宝%周香玲
劉天壤%任方遠%李武%徐海傑%張賜寶%週香玲
류천양%임방원%리무%서해걸%장사보%주향령
心肌缺血%体层摄影术 ,X线计算机
心肌缺血%體層攝影術 ,X線計算機
심기결혈%체층섭영술 ,X선계산궤
Computed tomography%Silent myocardial ischemia%CT coronary angiography
目的:研究多层螺旋CT冠状动脉成像在无症状性心肌缺血(silent myocardial ischemia ,SMI)中的诊断价值。方法选择S M I患者43例,行64排128层螺旋C T冠状动脉成像检查。结果冠状动脉有异常的病例共32例,其中23例发现有不同程度冠状动脉狭窄,12例冠状动脉有钙化斑块,软斑块者11例,心肌桥8例,冠状动脉狭窄合并心肌桥1例,冠状动脉开口异常合并冠状动脉狭窄2例。结论 SMI冠状动脉异常改变发生率较高,CT 冠状动脉成像可检出SM I冠状动脉异常改变,具有重要的临床价值。
目的:研究多層螺鏇CT冠狀動脈成像在無癥狀性心肌缺血(silent myocardial ischemia ,SMI)中的診斷價值。方法選擇S M I患者43例,行64排128層螺鏇C T冠狀動脈成像檢查。結果冠狀動脈有異常的病例共32例,其中23例髮現有不同程度冠狀動脈狹窄,12例冠狀動脈有鈣化斑塊,軟斑塊者11例,心肌橋8例,冠狀動脈狹窄閤併心肌橋1例,冠狀動脈開口異常閤併冠狀動脈狹窄2例。結論 SMI冠狀動脈異常改變髮生率較高,CT 冠狀動脈成像可檢齣SM I冠狀動脈異常改變,具有重要的臨床價值。
목적:연구다층라선CT관상동맥성상재무증상성심기결혈(silent myocardial ischemia ,SMI)중적진단개치。방법선택S M I환자43례,행64배128층라선C T관상동맥성상검사。결과관상동맥유이상적병례공32례,기중23례발현유불동정도관상동맥협착,12례관상동맥유개화반괴,연반괴자11례,심기교8례,관상동맥협착합병심기교1례,관상동맥개구이상합병관상동맥협착2례。결론 SMI관상동맥이상개변발생솔교고,CT 관상동맥성상가검출SM I관상동맥이상개변,구유중요적림상개치。
Objective To investigate the value of the multi‐slice CT coronary angiography in silent myocardial ischemia (SMI) .Methods 43 patients diagnosed as SMI were included and underwent 64‐row 128‐slice spiral CT coronary angiog‐raphy examination .Results There were abnormalities on CT coronary angiography examination in 32 patients ,including varying degrees of coronary artery stenosis in 23 cases ,coronary artery calcification in 12 cases ,soft plaques in 11 cases , pure myocardial bridge lesions in 8 cases ,myocardial bridge lesion and coronary artery stenosis in 1 case ,and coronary ar‐tery origin anomaly and coronary artery stenosis in 2 cases .Conclusion The incidence rate of coronary artery abnormali‐ties is relatively high in patients with SMI .CT coronary angiography can detect the coronary abnormallities ,which may be important in clinical settings .