摘要
冠状动脉粥样硬化性心脏病是冠状动脉血管发生粥样硬化而引起血管腔狭窄或阻塞,造成心肌缺血、缺氧或坏死而导致的心脏病,其诊断方法有心电图、血液学检查、冠状动脉CT(Computed Tomography,CT)、冠状动脉造影及血管内成像技术等。近年来血流储备分数(Fractional Flow Reserve,FFR)测量冠状动脉狭窄程度逐渐广泛应用于冠心病的治疗中。该研究基于国内外相关文献,在阐述了FFR测量冠状动脉狭窄程度的背景意义、基本原理和实现方式的基础上,归纳阐述了FFR检查的优缺点及临床研究;并对FFR技术的发展进行初步展望--未来瞬时无波形比值i FR(Instantaneous Wave-free Ratio, i FR)与功能性SYNTAX评分(Functional SYNTAX Score)具有广阔的发展空间。
Coronary atherosclerotic heart disease is a heart disease caused by coronary artery stenosis or obstruction, resulting in myocardial ischemia, hypoxia or necrosis. Its examination methods include electrocardiogram, hematological examination, coronary CT, coronary angiography and intravascular imaging technology, etc. In recent years, blood Fractional Flow Reserve(FFR) has been widely used to measure the degree of coronary artery stenosis in the treatment of coronary heart disease. Based on the related literature at home and abroad, elaborated the FFR measurements of coronary artery stenosis degree background significance, basic principle and implementation method, on the basis of inductive expounds the FFR examination of clinical research and the advantages and disadvantages, at the same time a preliminary prospect on the development of technology of FFR i FR-the future instantaneous waveform ratio and the functional SYNTAX score has a broad space for development.
作者
冯久勍
邬小玫
FENG Jiuqing;WU Xiaomei(School of Electronic Information,Soochow University,Suzhou,215006;The Electrical Engineering Department of Fudan University,Shanghai,200433;Shanghai Key Laboratory of Medical Image Processing and Computer Assisted Surgery,Shanghai,200032;Shanghai Rehabilitation Equipment Engineering Technology Research Center,Shanghai,200433)
出处
《中国医疗器械杂志》
2020年第2期179-184,共6页
Chinese Journal of Medical Instrumentation
基金
苏州大学莙政基金项目(21315003)
上海市工业强基储备项目(GYQJ-2018-2-05)。
关键词
血流储备分数
冠状动脉粥样硬化性心脏病
瞬时无波形比值
优缺点
功能SYNTAX评分
Fractional Flow Reserve
coronary atherosclerotic heart disease
instantaneous without wave ratio
the advantages and disadvantages
function SYNTAX score
