选择性冠状动脉造影308例分析

目的 探讨冠心病冠状动脉造影(CAG)的X线表现及左室壁瘤的形成与冠脉病变支数、侧支循环的关系。方法 用Judkins法行选择性左、右冠脉造影及左室造影308例，观察冠脉及左室病变的形态、范围和程度等，进行统计学分析。结果 308例冠脉造影中，冠心病179例(58．1％)，其中单支血管病变82例(45．8％)、双支56例(31．3％)、3支35例(19．6％)、4支6例(3．4％)。共累及323支血管，其中前降支(LAD)139支(43．0％)、回旋支(LCX)72支(22．3％)、右冠状动脉(RCA)95支(29．4％)、左主干(LM)17支(5．3％)。出现侧支循环27例、真性室壁瘤52例，其中同时出现侧支和室壁瘤的22例；左室附壁血栓7例，二尖瓣反流5例，左房血栓2例。结论 CAG能直接显示冠脉病变的形态、范围和程度，冠心病室壁瘤的形成与冠脉病变支数、侧支循环有较密切的关系。

Investigation of selective coronary artery angiography in 308 cases

Objective To evaluate the angiographic findings of coronary heart disease,and to study the correlativity both between ventricular aneurysm with quantity of the abnormal coronary artery and between ventricular aneurysm with collateral circulation in coronary heart disease.Methods The selective coronary angiography and the left ventricular angiocardiography were performed in 308 cases.Results The abnormalities of coronary arteries were demonstrated in 179 of 308 patients,including one branch of coronary artery involved in 82 patients(45.8%),two branches in 56(31.3%),three branches in 35(19.6%),four branches in 6(3.4%).There were total 323 branches of coronal arteries involved,they were anterior descending coronary arteries(139 branches,43%),right coronal arteries(95 branches,29.4%),circumflex coronary arteries(72 branches,22.3%),left main coronaries(17 branches,5.3%).52 ventricular aneurysms and 27 collateral circulations were found in 308 cases.22 cases which had demonstrated ventricular aneurysm with collateral circulation together were found.Conclusion The selective coronary artery angiography can directly demonstrate the lesions of coronary heart disese.There is correlativity both between ventricular aneurysm with quantity of the abnormal coronary artery and between ventricular aneurysm with collateral circulation in coronary heart disease.