冠状动脉CTA成像对冠心病临床诊断价值的初步研究——附108例冠状动脉CT成像与冠状动脉造影的对照分析

目的：评价多层螺旋CT冠状动脉成像对冠状动脉病变的诊断价值。材料与方法：对108例冠心病行多层螺旋CT（MSCT）增强扫描及图像后处理，并与常规冠状动脉造影（CAG）做对照分析。结果：常规冠脉造影（CAG）诊断冠脉病变138支，包括轻度狭窄50支，中度狭窄52支，重度狭窄36支，冠脉CTA成像检出冠脉病变152支，轻度狭窄56支，中度狭窄59支，重度狭窄37支。结论：多层螺旋CT对冠状动脉粥样硬化狭窄程度的判断。几乎可以代替有严重并发症的冠状动脉造影，且基本可以准确显示各种粥样斑块的病理性质，并对斑块的稳定性做出判断，评估急性冠脉事件的发生，具有较高的临床应用价值。是安全、准确、可靠的冠心病诊断方法，为冠脉事件的预防治疗和冠脉支架植入术前提供了诸多信息。

To Study Coronary Artery CTA for Clinic Diagnosis Evaluate to Coronary Arteny Disease(108 Cases Analysis)

Purpose： To evaluate the multi - slice spiral CT coronary angiography for diagnosis of coronary artery disease. Materials and Methods： 108 cases of coronary heart disease line of multi -slice spiral CT （MSCT） scanning and image enhancement after treatment with conventional coronary Arteriography （CAG） to do comparative analysis. Results： Conventional coronary angiography （CAG） diagnosis of coronary artery disease 138, Including 50 with mild stcnosis, moderate stenosis 52, 36 with severe stenosis, coronary CTA imaging detected coronary artery disease 152, 56 mild stenosis, moderate stenosis 59, 37 with severe stenosis. Conclusion： The multi -slice spiral CT of coronary atherosclerosis Narrow to determine the extent of sclero- sis, there is almost a substitute for serious compl cations of coronary angiography, and basically can be quasi - Do indicate the nature of the various plaque pathology, and to judge the stability of plaque, he assessment of acute coronary events The occurfence of high clinical value. Is safe, accurate and reliable diagnosis of coronary heart disease, in order to crown Incident pulse treatment and the prevention of coronary stent implantation in front of a lot of information provided.