双源CT诊断先天性冠状动脉畸形的研究

中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (6): 674-.

双源CT诊断先天性冠状动脉畸形的研究

安　宇¹，　刘翰林²，　陈少源¹，　方红城¹，　苏又苏¹

1.广东医学院附属深圳南山医院心血管内科;　2. 广东医学院附属深圳南山医院放射科，广东深圳 518052

收稿日期:2010-04-05 出版日期:2010-11-25 发布日期:2010-12-01
作者简介:安　宇（1963-），男，副主任医师，学士，主要从事危重病和心血管专业的临床， Tel:(0755)26553111-22230

Diagnosis of congenital coronary anomalies in adults by dual source CT

AN Yu, LIU Han-lin, CHEN Shao-yuan，et al.

Cardiovascular Department; the Affiliated Nanshan Hospital of Guang Dong Medical College, Shenzhen 518052, China

Received:2010-04-05 Online:2010-11-25 Published:2010-12-01

摘要/Abstract

摘要：

目的　探讨双源CT（DSCT）对先天性冠状动脉畸形（CCA）的诊断价值及临床意义。　方法　对我院DSCT冠状动脉成像资料进行回顾性统计，对其中冠状动脉畸形病例进行统计分析，探讨临床应用价值。　结果　1824例冠状动脉成像中检出CCA共43例（2.36%），其中冠状动脉起源异常24例（1.32%），冠状动脉走行异常18例，均为心肌桥，占CCA总数的41.9%，占总例数的0.99%。冠状动脉起源异常中右冠状动脉起源于左冠状窦9例，左冠状动脉起源于右冠状窦仅1例。　结论　DSCT能够准确地显示冠状动脉畸形，特别是对心肌桥的敏感性高于其他检查方法，对临床诊断和预后评估有重要的应用价值，特别适用于门诊冠脉疾病的“一站式”检查。

关键词: 双源CT, 冠状动脉成像, 冠状动脉畸形

Abstract:

Objective　To evaluate the diagnosis value of dual source computed tomography on congenital coronary anomalies (CCA) in adults.　Methods　Retrospective analysis was performed on 1824 cases underwent the dual source CT coronary angiography, and the data of patients suffered from CCA were statistically analyzed, for evaluating clinical value of dual source computed tomography.　Results　A total of 43 cases of CCA were found from 1824 cases who undergoing DSCT, giving the detect rate of 2.3% (43/1824), including anomalies of origin of 24 cases (1.3%, 24/1824), myocardial bridge（MB）of 18 cases (0.99%, 18/1824), and abnormal termination of 1 cases.　Conclusions　DSCT can be used to display of anomalous coronary arteries accurately, especially for the diagnosis and prognosis of CCA for outpatients.

Key words: Dual source CT, Coronary artery angiograph, Coronary anomalies

中图分类号:

R322.11

安　宇, 刘翰林, 陈少源, 方红城, 苏又苏. 双源CT诊断先天性冠状动脉畸形的研究[J]. 中国临床解剖学杂志, 2010, 28(6): 674-.

AN 　Yu, LIU Han-Lin, CHEN Shao-Yuan, FANG Gong-Cheng, SU You-Su. Diagnosis of congenital coronary anomalies in adults by dual source CT[J]. Chinese Journal Of Clinical Anatomy, 2010, 28(6): 674-.

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