摘要
目的:探讨多排螺旋CT(MDCT)冠状动脉造影心外意外发现(EIF)的处理策略。方法:通过2009年10月至2012年4月间因怀疑冠状动脉病变而行MDCT冠状动脉造影的972例患者的影像资料分析其EIF,即除观察冠状动脉、心脏及心包解剖外,还用肺窗、纵隔窗以及骨窗观察肺、纵隔、胸壁、大血管、脊柱以及部分上腹部脏器。在这些心外发现中去除已知的疾患,将EIF按照临床危险程度分为需要立即进一步检查并处理、需要近期随访以及暂时可不予以处理等三种类型。若存在多个EIF,按最严重的EIF进行分类。结果:在972例患者中,有EIF144例,占14.8%,需要立即进一步检查并处理的EIF 41例,占4.2%;需要近期随访的EIF60例,占6.2%,暂时可不予以处理的EIF 43例,占4.4%。三者在所有EIF中的比例分别为28.5%、41.7%以及29.8%。结论:MDCT冠状动脉造影后,根据EIF的危险程度,应予以不同的处理策略。
Purpose: To discuss the processing strategy of incidental extracardiac findings while the patients underwent coronary artery MDCT angiography. Methods: The data of 972 cases that were suspected coronary artery disease and underwent coronary artery MDCT angiography between Oct 2009 and Apt 2012 were analyzed. In addition to the information about the anatomy of heart, coronary arteries and pericardium, the lung, mediastinum, chest wall, spine and upper abdomen were also observed. It was eliminated if the extracardiac finding was known before angiography. The patients with incidental extracardiac findings were divided into three groups: group that needed to be treated at once, group that needed to be followed-up recently and group needed not to be followed-up. Results: There were 144 patients with incidental extracardiac findings in 972 cases MDCT coronary artery angiography. There were 41 cases (4.2%) that needed to be treated at once, 60 cases (6.2%) that needed to be followed-up recently, 43 cases (4.4%) that needed not to be followed-up. The percent of these three groups was 28.5%, 41.7% and 29.8%. Conclusion: It' s common for incidental extracardiac findings in coronary artery MDCT angiography examinations; there are different processing strategies for different incidental extracardiac findings.
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2013年第6期497-500,共4页
Chinese Computed Medical Imaging
基金
上海市虹口区医学重点学科(专科)建设专项经费资助项目(No.虹卫2010.29号)~~
关键词
冠状动脉
造影
心外发现
意外
Coronary artery
Angiography
Extracardiac finding
Incidental