| 慢性稳定性心绞痛患者冠状动脉临界病变斑块性质的血管内超声分析 |
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| 引用本文： | 田蓓,赵志宏,罗俊,蒋伟坚,金灿,成钧,宁忠平,郑昌柱,陆旦洁,李新明. 慢性稳定性心绞痛患者冠状动脉临界病变斑块性质的血管内超声分析[J]. 中国介入影像与治疗学, 2015, 12(8): 484-488 |
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| 作者姓名： | 田蓓 赵志宏 罗俊 蒋伟坚 金灿 成钧 宁忠平 郑昌柱 陆旦洁 李新明 |
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| 作者单位： | 上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318,上海市浦东新区周浦医院心内科, 上海 201318 |
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| 基金项目： | 上海市浦东新区卫生和计划生育委员会科技发展专项基金(PW2013A-26)、上海市浦东新区卫生和计划生育委员会行业专项基金(PW2013E-2)、上海市浦东新区卫生和计划生育委员会重点学科建设基金(PDZx2014-01)。 |
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| 摘 要： | 目的探讨慢性稳定性心绞痛患者冠状动脉临界病变血管内超声斑块影像学特征。方法对慢性稳定性心绞痛患者行冠状动脉造影检查,对冠状动脉造影显示为临界病变者,行血管内超声检查,评估斑块特征。结果 163例冠状动脉临界病变患者中薄帽纤维粥样硬化斑块(TCFA)、厚帽纤维粥样硬化斑块(ThCFA)患者分别为37、50例。TCFA、ThCFA患者临床特征、冠状动脉分布情况差异无统计学意义;超过50%的临界病变血管在左冠状动脉前降支;ThCFA患者平均斑块负荷、斑块面积高于TCFA患者;ThCFA及TCFA患者斑块成分以纤维组织最多,其次为纤维脂肪组织和坏死核心成分,高密度钙化面积最低。TCFA患者最小管腔面积≤4.0mm2者占18.92%(7/37),显著高于ThCFA患者。结论慢性稳定性心绞痛冠状动脉临界病变ThCFA患者斑块负荷更重,管腔面积更大。TCFA患者最小管腔面积≤4.0mm2比例更高。
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| 关 键 词： | 心绞痛 超声检查 冠状动脉疾病 诊断显像 |
| 收稿时间： | 2015-01-20 |
| 修稿时间： | 2015-07-02 |
Virtual histology intravascular ultrasound characteristics of intermediate severity coronary lesions in stable coronary heart disease patients |
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| TIAN Pei,ZHAO Zhi-hong,LUO Jun,JIANG Wei-jian,JIN Can,CHENG Jun,NING Zhong-ping,ZHENG Chang-zhu,LU Dan-jie and LI Xin-ming. Virtual histology intravascular ultrasound characteristics of intermediate severity coronary lesions in stable coronary heart disease patients[J]. Chinese Journal of Interventional Imaging and Therapy, 2015, 12(8): 484-488 |
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| Authors: | TIAN Pei ZHAO Zhi-hong LUO Jun JIANG Wei-jian JIN Can CHENG Jun NING Zhong-ping ZHENG Chang-zhu LU Dan-jie LI Xin-ming |
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| Affiliation: | Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China,Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China and Department of Cardiology, Shanghai Pudong New District, Zhoupu Hospital, Shanghai 201318, China |
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| Abstract: | |
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| Keywords: | Angina pectoris Ultrasonography Coronary disease Diagnostic imaging |
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