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目的分析基层医院冠状动脉(冠脉)瘤样扩张(扩张)的临床表现及影像学特点。方法采集北京大兴区人民医院2006-01-2010-12心导管室行冠脉造影患者,冠脉瘤样扩张44例,对应冠脉硬化34例,冠脉正常55例,三组行方差统计。结果冠脉扩张者男性好发,三支病变多见(59.1%),与动脉硬化比,扩张多累及右冠50.0%,硬化组易累及前降支88.6%,高血压及吸烟为其危险因素,差异有统计学意义(P<0.05),并发糖尿病、脂代谢紊乱者低。结论基层冠脉扩张以男性、三支病变、右冠最易受累为特点,高血压、吸烟为其危险素,合并糖尿病、高血脂者低。
Objective To analyze the clinical manifestations and imaging features of coronary artery (coronary) tumor-like dilation (dilatation) in primary hospitals. Methods Daxing District People’s Hospital of Beijing, 2006-01-2010-12 Coronary angiography was performed in patients with cardiac catheterization. Forty-four patients with coronary artery aneurysm were enrolled, corresponding to 34 cases of coronary atherosclerosis and 55 cases of normal coronary arteries. Results The coronary dilators were predominant in men and were more common in the three lesions (59.1%). Compared with arteriosclerosis, the dilatation was more common in the right crown and 50.0% in the right coronary artery, and 88.6% in the sclerosis group. Hypertension and smoking were the risk factors , The difference was statistically significant (P <0.05), complicated by diabetes, low lipid metabolic disorders. Conclusion The primary coronary artery dilatation is characterized by male, three lesions and the right coronary artery most likely to be involved. Hypertension and smoking are risk factors, with diabetes and hyperlipidemia.