CAJ | 학술논문

目的： MSCT对冠状动脉粥样硬化性心脏病患者的狭窄血管内斑块成分的研究。方法选取我院门诊或住院患者因冠状动脉粥样硬化症而就诊的60个病例，按照其临床症状表现分为两组：急性冠脉综合征（ACS）组和稳定型心绞痛（SAP）组。行冠脉CTA检查，获取相关数据，依据测量值＜50Hu、50～130Hu、＞130Hu分为三组，软斑块、混合斑块和钙化斑块，应用AW工作站后处理技术行定量分析，得出的数据使用统计学方法对粥样斑块行定性评估。结果60例当中，测得软斑块25个、混合斑块31个、钙化斑块36个。不同性质类型斑块与冠心病ACS、SAP组危险因素有着明显相关性（P＜0．05）。结论通过MSCT评价斑块成分，并分析软斑块发生的相关性因素，尽可能为临床提供更多信息，能预测冠心病的危险性，从而有效降低病死率。
목적： MSCT대관상동맥죽양경화성심장병환자적협착혈관내반괴성분적연구。방법선취아원문진혹주원환자인관상동맥죽양경화증이취진적60개병례，안조기림상증상표현분위량조：급성관맥종합정（ACS）조화은정형심교통（SAP）조。행관맥CTA검사，획취상관수거，의거측량치＜50Hu、50～130Hu、＞130Hu분위삼조，연반괴、혼합반괴화개화반괴，응용AW공작참후처리기술행정량분석，득출적수거사용통계학방법대죽양반괴행정성평고。결과60례당중，측득연반괴25개、혼합반괴31개、개화반괴36개。불동성질류형반괴여관심병ACS、SAP조위험인소유착명현상관성（P＜0．05）。결론통과MSCT평개반괴성분，병분석연반괴발생적상관성인소，진가능위림상제공경다신식，능예측관심병적위험성，종이유효강저병사솔。
Objective To discuss the usage of 64 -layered spiral CT in analyzing the component of atherosclerosis plaques .Methods 60 patients with main disease of coronary heart disease were enrolled in our study.And they were divided into the acute coronary syndrome (ACS) group and stable angina pectoris (SAP) group .Then the data was obtained , and accessed with the post processing software .And the atherosclerosis plaque were divided in line with the CT value , we assumed that the soft plaque with a CT value <50Hu, the mixed plaque with a CT value from 50HU to 130Hu, the calcified plaque with a CT value of >130Hu.Results There were 25 soft plaques, 31 mixed plaques and 36 calcified plaques among the 60 patients.And different properties of plaques did have a significant correlation with the risks of coronary heart disease (P<0.05).Conclusions With the help of 64-layered spiral CT analyzing the composition of atherosclerosis plaques and the correlation with the risks of coronary heart disease , we can provide more clinical information and predict the risk of coronary heart disease to decrease the incidence of acute coronary syndrome ( ACS) .