64排CT冠状动脉血管成像与冠状动脉造影对冠状动脉心肌桥的诊断比较

Comparison between 64-Slice CT Coronary Angiography and Coronary Arteriography in Diagnosis of Coronary Artery Myocardial Bridge

目的评估64排CT冠状动脉血管成像检查(CTA)和冠状动脉造影检查(CAG)对冠状动脉心肌桥的诊断价值。方法选取2017年7月至2019年4月淮安市中医院收治的75例冠心病患者,全部患者均接受CTA和CAG检查,比较两种检查方法在深在型及浅表型心肌桥影像诊断的一致性。结果全部患者顺利完成CTA和CAG检查,得到的检测图像质量较为满意。CTA共检出深在型心肌桥24段,浅表型心肌桥16段;CAG共检出深在型心肌桥24段,浅表型心肌桥14段。CTA和CAG在深在型、浅表型冠状动脉心肌桥诊断中均具有比较高的一致性。结论在冠状动脉心肌桥诊断中采用CTA和CAG检查均获得良好临床诊断效果,需要参考患者实际状况为其选择检查方式。在冠状动脉心肌桥诊断中采用CTA和CAG检查均获得良好临床诊断效果,需要参考患者实际状况为其选择检查方式。

Objective To compare the clinical value of 64-slice CT coronary angiography(CTA)and coronary arteriography(CAG)in the diagnosis of coronary artery myocardial bridge.Methods From July 2017 to April 2019,75 patients admitted in Huai’an Hospital of Traditional Chinese Medicine were selected.All patients underwent 64-slice CTA and CAG,and the consistency of the two Methods in the diagnosis of deep and superficial myocardial bridges were compared.Results All of the patients successfully completed both CTA and CAG examinations,and the quality of the images obtained was satisfactory.CTA detected 24 deep myocardial bridges and 16 superficial myocardial bridges.A total of 24 deep myocardial bridges and 14 superficial myocardial bridges were detected in CAG.Both CTA and CAG showed a high consistency in the diagnosis of deep and superficial coronary myocardial bridge.Conclusion In the diagnosis of coronary myocardial bridge,CTA and CAG can obtain good clinical diagnostic results,and the examination method should be selected according to the actual situation of the patient.