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目的探讨64排螺旋CT冠状动脉成像对指导临床治疗意义。方法回顾性分析100例临床诊断或疑似冠状动脉粥样硬化性心脏病(冠心病)患者的CTA图像,与临床治疗采取方法相比较,来分析冠脉成像的临床意义。结果 100例患者,73(73/100)例患者轻中度狭窄采用药物保守治疗,取得良好效果,重度患者22例建议支架术,5例未成功(5/100),17(4/100)例搭桥术,均成功。结论冠脉成像在指导临床治疗有一定意义,在指导是否放支架术时应该结合冠脉造影。
Objective To explore the clinical value of 64-slice spiral CT coronary angiography in guiding clinical treatment. Methods The clinical data of 100 patients with clinically diagnosed or suspected coronary atherosclerotic heart disease (CHD) were retrospectively analyzed. The clinical significance of coronary angiography was compared with that of clinical treatment. Results Of 100 patients, 73 (73/100) patients were treated with conservative treatment with mild to moderate stenosis. Twenty-two of the patients with severe disease recommended stenting, 5 were unsuccessful (5/100), 17 (4/100) Cases of bypass surgery, are successful. Conclusion Coronary angiography is of some significance in guiding clinical treatment. Coronary angiography should be combined with the guidance of whether stenting should be performed.