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双源64层CT评价冠脉非显著性及临界狭窄病变斑块的研究

Journal of Ningxia Medical University(2012)

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Abstract
目的 研究双源64层CT(DSCT)评价冠脉非显著性及临界狭窄病变斑块的临床应用价值.方法 选择性冠状动脉造影(CAG)筛选出非显著性狭窄 (CAG直径狭窄率<50%)和临界狭窄 (CAG直径狭窄率50%~75%)53例,重度狭窄 (CAG直径狭窄率>75%)37例,对上述两组同期行双源64层CT冠状动脉成像检查,并完成病变斑块类型及血管重构等特点的对比分析.结果 与重度狭窄组相比,非显著性、临界狭窄组中软斑块、结节状钙化、偏心斑块及正性重构等不稳定斑块特征更多见,两组间差异具有统计学意义(P<0.05).结论 双源64层CT可有效对冠脉非显著性及临界狭窄病变斑块进行评价,并可早期提示斑块不稳定性.
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Key words
plaques stability,non-calcified plaques,acute coronary syndrome,dual-source CT
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