64层螺旋CT评价冠状动脉粥样斑块性质的研究

《64层螺旋CT评价冠状动脉粥样斑块性质的研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、江苏大学硕士学位论文89．8％，阳性预测值97．2％，阴性预测值98．3％。3．两组患者冠脉内共检测到388个斑块，两组之间的斑块数目差别无统计学意义(p>O．05)；UA组与SA组斑块在冠脉内分布无统计学意义(p>O．05)；UA组以软斑块为主，钙化斑块次之；SA组以钙化斑块和混合斑块为主，两者比较差异有统计学意义(P

2、及斑块的稳定性做出无创性评价，可以作为一种无创、简便、安全可靠的对高危人群普查和筛查的检查技术。关键词：冠状动脉疾病；心绞痛；体层摄影术；x线计算机II江苏大学硕士学位论文ABSTRACTPurpose：Corona拶heandisease(CHD)seriouslyharnlshumanhealth．SelectiVecorona叮angio-gr印hy(CAG)remainsgoldstanda耐todiagnosisofCHDsof．ar．howeVer，theinVasiVeprocedureiscostlyanddangerously，what．smore，

3、accordingtotheliteraturer印ort，therewasonemillinpeopleunderwentCAGeVe巧year，Approximately72％ofallaredongtoexcludesignificantstenosisofCorona秽砒eryandnotfollowedbypercutaneouscorona哆int*Vention(PCI)．SoanaltematiVenon—inVasiVeTeclllliquetoevaluatecorona巧arterialstenosisseVentywouldbeofgreatb

4、enefit．recentlywiththetechnicaldevelopmentandsignificantlyimproVedimagequali妙，multi-slicespiralcomputedtomography(MSCT)，asa飚ndofnon—invasiVeteCllllique，playsapotentialroleindiagnosisof也epatientswithCHD．ItismoreeasilyaCc印tedbypeopleThantheinvasiVeCAGOurobjectiVeistoevaluatecorona巧plaquec

5、haracteristicusing64一slicespiralcomputedtomo鲫hy(CT)angiogml)hyinpatientswithcorona巧he叭disease(CHD)confimledbycorona巧angiogr印hy．ToinVestigatethereliabilityof64一sliceCTinthediagnosisofcorona巧plaqueinstabilityandclinicalsignificance．Methods：136patientswithCHDwereconfimedbycorona巧angiograph

6、y(CAG)anddiVidedintoSA(stableangina)(n=72)andUA(unstableangina)(n=64)groupsbasedonclinicalfeamre．A11ⅡI江苏大学硕士学位论文andthat肋rousa11dcalcificlesions．weremoreprevaleminGroupSA(p

7、dplaquelesionshadseverestenosisinUAgroup．Difrerenttypesofplaqueinmecomparisonbet、)l，eenthedegreeofstenosiswerestatisticallysigIlmcant．Conclusions：64MSCTcorona巧angiographycanbeusedinthequantittiVediagnosisofcoronalyarte巧stenosisandplaquewithahigheraccuracyrate．Clearpatchfonn，loc