摘要
目的利用64层螺旋CT血管造影(CTA)分析急性冠状动脉综合征(ACS)患者冠状动脉病变特点。方法将2012年1—10月在该院住院、行心脏CTA的82例冠心病患者分为两组:ACS组35例和稳定型心绞痛(SAP)组47例,计算两组不同性质斑块数目。结果 82例冠心病患者中,ACS组检出:软斑块42个,中等密度斑块21个,钙化斑块31个,混合斑块33个;SAP组检出:软斑块13个,中等密度斑块49个,钙化斑块63个,混合斑块21个。ACS组不稳定斑块占59.06%(75/127),SAP组不稳定斑块占23.29%(34/146),两组比较,差异有统计学意义(P<0.05)。结论相对于SAP患者,ACS患者冠状动脉粥样斑块以不稳定斑块为主,这构成了该病的病理基础。
Objective To investigate the characteristics of acute coronary artery lesions in the patients with acute coro- nary syndrome（ACS） by using 64 slice spiral CT angiography（CTA）. Methods 82 patients with coronary heart disease and CTA enrolled in this hospital from January to October 2012 were divided into two groups ：the ACS group（n=35 ） and the stable angina pectoris （SAP） group （n=47）. The number of different natures of plaques in the two groups was calculated. Results In the ACS group, there were 42 soft plaques, 21 moderate density plaques, 31 calcified plaques and 33 mixed plaques;in SAP group,there were 13 soft plaques, 49 medium density plaques, 63 calcified plaques and 21 mixed plaques. The unstable plaques accounted for 59.06% in the ACS group and 23.29% in the SAP group. The comparison of the unstable plaques percentages in the two groups had statistical significanc （P〈0.05）. Conclusion Compared with the patients with SAP,the patients with ACS are dominated by un- stable plaques, which constitutes the pathological basis of this disease.
出处
《现代医药卫生》
2013年第12期1791-1792,共2页
Journal of Modern Medicine & Health
