64排CT冠脉成像在隐匿性冠心病诊断中的应用

Abstract
Figure/Table
References (20)
Related Citation (2)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the value of 64-slice (computed tomography)CT coronary artery imaging in occult coronary heart disease(CHD).Methods A total of 58 patients with occult CHD who received treatments in our hospital from January 2016 to December 2018 were enrolled.All patients were performed with 64-slice CT coronary artery imaging.The diagnostic results of all patients were compared with the gold standard and the examinations were analyzed in details.Results The results of coronary angiography (CAG)were used as the gold standard.Among them,patients with mild stenosis accounted for 68.97%,and moderate stenosis for 31.03%.After comparison,the incidence of single coronary artery stenosis was 72.41%,and multiple was 27.59%,which was not displayed statistical difference between the 64-slice spiral CT and CAG (P＞0.05).After 64-slice spiral CT examinations in all participants,and there were 462 segments of coronary artery segment with a diameter of more than 2 mm.The image quality was observed after the patient′s examination.The image quality satisfied the clinical diagnosis accounted for 85.50%,and the rest was not qualified (14.50%),of which diagonal branch image was 21.43%,followed by the distal segment of left circumflex(20.59%),and the proximal segment of left circumflex (17.14%).The image quality of left main coronary artery can meet the clinical evaluation in a high proportion accounting for 90.91%,followed by the distal segment of left anterior descending branch (90.39%)and proximal segment of left anterior descending branch (89.66%).Conclusion For patients with suspected occult CHD,64-slice CT coronary artery imaging can be used for diagnosis,which benefits for timely diagnosis of coronary artery condition and plaque property,and actively improve patient′s prognosis.It is worthy of application.

Key words： Coronary artery imaging Occult coronary heart disease Computed tomography

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	PENG Jiang-qiang
	XIAO Pei-biao
	MAI Yong-bin
	ZHOU Xiao-juan

Cite this article:

PENG Jiang-qiang,XIAO Pei-biao,MAI Yong-bin, et al. Value of 64-slice CT coronary artery imaging in the diagnosis of occult coronary heart disease[J]. 中国当代医药, 2019, 26(16): 180-182转192.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/180

[1]	李鹤飞.运动负荷心电图与动态心电图应用于诊断隐匿性冠心病的临床价值[J].中外医学研究，2018，16（21）：42-43.
[2]	颜立群，张景坤，汪国石，等.螺旋CT冠状动脉校正性对比剂浓度差值在冠心病患者冠状动脉狭窄诊断中的价值[J].临床误诊误治，2018，31（4）：71-76.
[10]	冯庆.64排双源CT与血清学检查联合诊断冠心病患者的价值分析及对患者预后手术治疗方法的选择影响[J].中国急救医学，2017，37（Z1）：351-352.
[11]	SCOT-HEART.Investigators.CT coronary angiography in patients with suspected angina due to coronary heart disease（SCOT-HEART）：an open-label，parallel-group，multicentre trial[J].Lancet，2015，385（9985）：2383-2391.
[12]	高扬，王成英，周艳丽，等.负荷动态CT心肌灌注结合冠状动脉CT血管成像对冠心病心肌缺血的诊断价值[J].中华放射学杂志，2017，51（4）：246-250.
[13]	李建龙，张虹.冠状动脉CT成像联合同位素心肌显像对冠心病等危症患者的诊断[J].医学综述，2016，22（12）：2368-2371.
[14]	韦章诚，罗鹰，高德军，等.冠脉CT血管成像定量分析比较急性冠脉综合征和稳定冠脉冠心病患者中斑块狭窄的差异[J].放射学实践，2016，31（6）：487-491.
[15]	肖冲冲，黄贤胜，王晓晓，等.64排螺旋CT冠状动脉成像对女性及男性冠状动脉狭窄诊断价值的对比[J].中国动脉硬化杂志，2015，23（6）：599-602，606.
[16]	杨茂生，于春梅，彭君，等.多排螺旋CT血管成像和延迟强化成像在诊断冠心病心肌梗死病灶中的价值[J].疑难病杂志，2018，17（10）：1108-1111.
[3]	Ashrafpoor G，Danchin N，Houyel L，et al.Anatomical criteria of malignancy by computed tomography angiography in patients with anomalous coronary arteries with an interarterial course[J].Eur Radiol，2015，25（3）：760-766.
[4]	张谷青，王玉红，陈月芹，等.新双源CT前瞻性心电门控序列扫描对隐匿性冠心病的诊断价值[J].医学影像学杂志，2018，28（8）：1286-1289.
[5]	王竞.动态心电监测在临床冠心病心电图动态演变心律失常的诊断的应用现状[J].临床和实验医学杂志，2017，16（9）：935-937.
[6]	谢娅娟，王成.运动负荷心电图与动态心电图应用于诊断隐匿性冠心病的临床价值[J].现代中西医结合杂志，2017，26（30）：3404-3405，3420.
[7]	丁梅.冠状动脉钙化评分在识别尸体供肝肝移植患者隐匿性冠心病中的作用[J].实用器官移植电子杂志，2015，3（6）：332.
[8]	王春光，罗兴才，要彤，等.心率减速力及连续心率减速力对冠心病心脏性猝死的预警价值[J].中国应用生理学杂志，2017，33（3）：244-247.
[9]	龙邦媛，卢小军，王庆平，等.64排128层螺旋CT冠脉成像与冠状动脉造影在高龄冠心病患者冠状动脉狭窄病变诊断中的对比[J].中国老年学杂志，2016，36（16）：4040-4041，4042.
[17]	朱涛，张国明，严飞，等.心肌灌注显像与双源CT冠状动脉成像对糖尿病并发冠心病患者冠状动脉狭窄诊断价值的比较[J].吉林大学学报（医学版），2018，44（2）：425-430.
[18]	彭鹏，葛圣林，张成鑫，等.冠状动脉周围心外膜脂肪厚度及CT值与冠心病的相关性研究[J].安徽医药，2018，22（9）：1710-1713.
[19]	陈建平.CT冠状动脉成像与冠状动脉造影诊断冠心病的临床价值对照分析[J].中国 CT 和 MRI杂志，2017，15（1）：49-51.
[20]	白少君.冠心病患者CT冠状动脉造影斑块性质与血小板功能、血清生化指标的相关性[J].海南医学院学报，2018，24（6）：661-664.