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64层螺旋CT血管成像对冠状动脉畸形的诊断价值
引用本文:程天明,;郭安齐,;郭溁,;阚晓婧,;葛英辉,;张继良,;孙明华. 64层螺旋CT血管成像对冠状动脉畸形的诊断价值[J]. 中原医刊, 2009, 0(22): 4-6
作者姓名:程天明,  郭安齐,  郭溁,  阚晓婧,  葛英辉,  张继良,  孙明华
作者单位:[1]河南省人民医院放射科,郑州450003; [2]河南省职工医学院,郑州450003;
基金项目:河南省科技攻关计划项目(0524410088)
摘    要:目的探讨64层螺旋CT血管成像在先天性冠状动脉畸形中的诊断价值。方法回顾性分析1125例患者行64层螺旋CT血管成像影像学资料,并分析冠状动脉畸形者的CT影像学表现。结果1125例行64层螺旋CT血管成像患者中,发现冠状动脉畸形27例,其中左前降支与左旋支分别开口于左冠窦8例,左旋支缺如2例,冠脉开口于升主动脉11例,右冠状动脉起源于肺动脉1例,单支冠状动脉1例,冠状动脉瘘4例。结论64层螺旋CT血管成像对冠状动脉畸形的诊断有重要价值。

关 键 词:畸形  冠状动脉成像  体层摄影术,X线计算机  64层探测器

The value of 64 - slice CT coronary artery angiography in diagnosing coronary artery anomalies
Affiliation:CHENG Tian- ming , GUO An-qi, GUO Ying, KAN Xiao-jing, GE Ying-hui, ZHANG Ji-liang , SUN Ming-hua ( Department of Radiology, Henan Provincial People's Hospital, Zhengzhou 450003, China)
Abstract:Objective To evaluate 64 - slice CT coronary artery angiography in diagnosing coronary artery auomalies. Methods 1125 patients' data of 64 - slice CT coronary artery angiography were analyzed retrospectively.Results Twenty - seven eases of coronary artery anomalies were identified,including separate origin of the lefI anterior deseending and circumflex from the left sinus of valsalva ( n = 8 ) , absent circumflex ( n = 2 ) , anomalous cornnary origin from the ascending aorta( n = 11 ) ;right curonary artery origin from pulmary( n = 1 ) ; single coronary artery ( n = 1 ) , coronary fistula ( n = 4). 'Conclusions 64 - slice CT coronary artery angiography can diagnose coronary artery anomalies reliably.
Keywords:Anomaly  Coronary artery  Angiography  Tomography,X-ray computed  64 -row detecter
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