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320排动态容积CT对壁冠状动脉-心肌桥的诊断价值

都宝顺 覃杰 余舒杰 刘勇 周彬 钱孝贤

广东医学2011,Vol.32Issue(16):2121-2123,3.
广东医学2011,Vol.32Issue(16):2121-2123,3.

320排动态容积CT对壁冠状动脉-心肌桥的诊断价值

Dignostie values of 320- slice dynamic volume CT for mural coronary artery- myocardial bridge.

都宝顺 1覃杰 2余舒杰 1刘勇 1周彬 1钱孝贤1

作者信息

  • 1. 中山大学附属第三医院心内科,广州,510630
  • 2. 中山大学附属第三医院放射科,广州,510630
  • 折叠

摘要

Abstract

Objective To evaluate the morphological assessment, accuracy and clinical significance of 320 slice dynamic volume CT (320 - DVCT) in diagnosis of mural coronary artery - myocardial bridges ( MCA - MB). Methods The 320 - slice DVCT scan and coronary angiography (CAG) were performed in 85 patients suspected of coronary artery disease (CAD) for evaluation of the efficacy of DVCT in MCA - MB diagnosis. Results The detection rate of MCA - MB with 320 - slice DVCT was 30. 6% , among which 82.4% were located in middle and distal segment of left anterior descending artery. The mean length and thickness of MB were ( 13. 38 +5.06)mm and (3.61 ±2.53)mm, respectively. The incidence of atheroselerosis of MCA - MB adjacent vessels was 96. 2%. Meanwhile, the detection rate of MCA - MB with CAG was 8.2%, which was significantly lower than that with DVCT ( P < 0. 05 ). Conclusion As a new non- invasive approach of assessing MCA - MB, 320 - slice DVCT provides sufficient accuracy and reliability. Furthermore,MCA - MB in patients suspected of CAD is correlated with atherosclerosis.

关键词

心肌桥/壁冠状动脉/X线计算机体层摄影术/血管造影术

Key words

myocardial bridge/ mural coronary artery/ computed tomography/ angiography

引用本文复制引用

都宝顺,覃杰,余舒杰,刘勇,周彬,钱孝贤..320排动态容积CT对壁冠状动脉-心肌桥的诊断价值[J].广东医学,2011,32(16):2121-2123,3.

广东医学

OA北大核心CSCDCSTPCD

1001-9448

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