64排螺旋CT在诊断成人冠状动脉-肺动脉瘘中的应用价值

目的：探讨64排螺旋CT在诊断成人冠状动脉-肺动脉瘘中的应用价值。方法回顾性分析我院28例成人冠状动脉-肺动脉瘘的CT图像。结果28例冠状动脉-肺动脉瘘患者中，单侧分支血管参与者10例，双侧分支血管参与者18例。动脉瘘血管直径较起始冠状动脉直径小的患者有24例，占85.71%；动脉瘘血管直径较起始冠状动脉直径大的患者有4例，占14.29%。结论64排螺旋CT可清晰地显示血管的起源、走行和终止等情况，对冠状动脉-肺动脉瘘的诊断具有重要的临床应用价值。

Application Value of 64-Row Spiral CT in the Diagnosis of Coronary Artery-Pulmonary Artery Fistula in Adults

Objective To explore the application value of 64-row spiral CT in the diagnosis of coronary artery-pulmonary artery ifstula in adults.Methods The CT images of 28 adults with coronary artery-pulmonary artery ifstula were retrospectively analyzed.Results Among 28 patients, 10 patients suffered from unilateral vessel lesions, while 18 patients suffered with bilateral vessel lesions. There were 24 patients whose diameter of artery ifstula blood vessels were smaller than that of initial coronary artery, accounting for 85.71%.While 4 patients whose diameter of artery fistula blood vessels were larger than that of initial coronary artery, accounting for 14.29%.Conclusion The 64-Row spiral CT which can clearly show the origin, course and termination of blood vessels, has a great clinical value in the diagnosis of coronary artery-pulmonary artery ifstula.