多层螺旋CT诊断成人先天性冠状动脉畸形的临床价值Clinical values of multi-slice spiral CT angiography in detection of congenital coronary anomalies in adults
王利东,杨晓光,刘挨师,苏秉亮
摘要(Abstract):
目的分析多层螺旋CT诊断成人先天性冠状动脉畸形(CCA)的临床价值。方法回顾性分析300名行多层螺旋CT冠状动脉成像(MSCTA)的资料,探讨冠状动脉的起源、走行和终止情况,统计成人先天冠状动脉畸形(CCA)的发生率及CT表现。结果300例中,检出各类CCA共84例,检出率为28.0%,其中起源异常11例,检出率3.7%;冠状动脉结构异常71例,心肌桥(MB)67例,检出率为22.3%,回旋支发育异常4例,检出率1.3%;冠状动脉终止异常2例,均为冠状动脉瘘,检出率0.7%。结论MSCT能够准确地显示冠脉起源、结构和终止异常,对成人冠状动脉畸形的诊断和预后判断有重要的临床应用价值。
关键词(KeyWords): 冠状动脉畸形;冠状动脉成像;多层螺旋CT
基金项目(Foundation): 内蒙古教育厅科研项目(NJZY07091)
作者(Author): 王利东,杨晓光,刘挨师,苏秉亮
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