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急性心肌梗死相关动脉血管内超声虚拟组织学影像特点
引用本文:陈少伯,姜铁民,梁国庆,赵季红,李玉明.急性心肌梗死相关动脉血管内超声虚拟组织学影像特点[J].天津医科大学学报,2011,17(2):210-211,214.
作者姓名:陈少伯  姜铁民  梁国庆  赵季红  李玉明
作者单位:1. 天津医科大学研究生院,天津300070;武警医学院附属医院心内科,天津300162
2. 武警医学院附属医院心内科,天津,300162
摘    要:目的:对比分析急性心肌梗死(AMI)相关动脉和稳定性心绞痛(SAP)罪犯病变的虚拟组织学特点,以期早期识别易损斑块。方法:对63例急性ST段抬高性心肌梗死患者行直接介入治疗,随机选取同期介入治疗的63例SAP患者做对照。完成冠状动脉造影之后,对罪犯病变进行血管内超声检查,保存普通灰阶图像和虚拟组织学超声数据。分析斑块的虚拟组织学特点。结果:两组患者年龄、性别、高血压、吸烟、糖尿病、高脂血症等临床资料差异无统计学意义,SAP组和AMI组虚拟组织学血管内超声特点不同,AMI组纤维脂质成份和坏死组织明显增多,钙化成份少。两组的坏死组织/钙化组织面积比值分别是3.26±1.64比7.81±2.66,差异最显著(P〈0.01)。结论:AMI相关动脉的斑块虚拟组织学有其自身特点,据此早期识别易损斑块,对降低AMI的发病率大有裨益。

关 键 词:心肌梗死  血管内超声  虚拟组织学

Analyzing the characteristic of visual histology-intravenous ultrasound in the patients with ST segment elevated type acute myocardial infarction
CHEN Shao-bo,JIANG Tie-min,LIANG Guo-qing,ZHAO Ji-hong,LI Yu-ming.Analyzing the characteristic of visual histology-intravenous ultrasound in the patients with ST segment elevated type acute myocardial infarction[J].Journal of Tianjin Medical University,2011,17(2):210-211,214.
Authors:CHEN Shao-bo  JIANG Tie-min  LIANG Guo-qing  ZHAO Ji-hong  LI Yu-ming
Institution:CHEN Shao-bo1,2,JIANG Tie-min2,LIANG Guo-qing2,ZHAO Ji-hong2,LI Yu-ming2(1.Graduate School,Tianjin Medical University,Tianjin 300070,China,2.Department of Cardiology,The Affiliated Hospital,Medical College of Chinese People's Armed Police Forces,Tianjin 300162,China)
Abstract:Objective: To analyze the characteristic of visual histology-intravenous ultrasound(VH-IVUS) in 63 patients with ST segment elevated type acute myocardial infarction(AMI) and reveal the difference of VH-IVUS between stable angina patients and AMI.Methods: Those 63 patients with ST segment elevated AMI who reiceived direct percutaneous coronary artery intervention,other 63 patients with stable angina who also reiceived PCI selected as control group.After completing coronary artery graphy,IVUS examination was...
Keywords:Acute myocardial infarction  Intravenous ultrasound  Visual histology  
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