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目的分析在心肌桥-壁冠状动脉诊断中应用64排螺旋CT冠状动脉成像的临床价值。方法回顾性分析本院接收的行64排螺旋CT冠状动脉检查的586例患者的影像学资料,观察心肌桥-壁冠状动脉的检出情况,并分析心肌桥厚度及长度和壁冠状动脉的关系。结果本组586例患者中共检出心肌桥患者53例,占9.04%,其中23例为深在型,30例为浅表型。研究组的冠脉狭窄程度轻度率、中度率及重度率与参考组相比均显著更高,正常率显著更低(P<0.05)。结论在心肌桥-壁冠状动脉诊断中应用64排螺旋CT冠状动脉成像具有良好的价值,值得借鉴。
Objective To analyze the clinical value of 64-slice spiral CT coronary angiography in the diagnosis of myocardial bridge-wall coronary artery. Methods We retrospectively analyzed the imaging data of 586 patients undergoing 64-slice spiral CT coronary angiography in our hospital. The detection of myocardial bridge-wall coronary arteries was observed. The relationship between myocardial bridge thickness and length and wall coronary arteries . Results Among the 586 patients in this study, 53 cases of myocardial bridge were detected, accounting for 9.04%. Among them, 23 were deep type and 30 were superficial type. The severity of coronary stenosis in the study group was significantly higher, moderate rate and severe rate were significantly higher than the reference group, the normal rate was significantly lower (P <0.05). Conclusion The application of 64-slice spiral CT coronary angiography in the diagnosis of myocardial bridge-wall coronary artery has a good value, it is worth learning from.