[1]李 宁,韩丽英,王俊伟,等.冠脉钙化与冠脉血管病变严重程度的相关性分析[J].医学信息,2020,33(01):98-100.[doi:10.3969/j.issn.1006-1959.2020.01.029]
　LI Ning,HAN Li-ying,WANG Jun-wei,et al.Correlation Analysis Between Coronary Calcification and Severity of Coronary Artery Disease[J].Medical Information,2020,33(01):98-100.[doi:10.3969/j.issn.1006-1959.2020.01.029]
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冠脉钙化与冠脉血管病变严重程度的相关性分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年01期
页码:
98-100
栏目:
论著
出版日期:
2020-01-01

文章信息/Info

Title:
Correlation Analysis Between Coronary Calcification and Severity of Coronary Artery Disease
文章编号:
1006-1959（2020）01-0098-03
作者:
李 宁; 韩丽英; 王俊伟; 赵秀峰; 常 超; 刘丽军; 信栓力
（河北邯郸市第一医院心内一科，河北 邯郸 056000）
Author(s):
LI Ning; HAN Li-ying; WANG Jun-wei; ZHAO Xiu-feng; CHANG Chao; LIU Li-jun; XIN Shuan-li
(Department of Cardiology,Subject One,the First Hospital of Handan City,Handan 056000,Hebei,China)
关键词:
冠状动脉疾病; 体层摄影术; X线计算机; 血管造影术; 钙化积分
Keywords:
Coronary artery disease; Tomography; X-ray computer; Angiography; Calcification score
分类号:
R816.2
DOI:
10.3969/j.issn.1006-1959.2020.01.029
文献标志码:
A
摘要:
目的 探讨冠状动脉钙化与冠脉血管病变严重程度的相关性。方法 回顾性分析2017年1月~2018年7月我院收治的经256层螺旋CT检查并于30 d内行选择性冠脉造影（CAG）检查的疑似冠心病患者51例的相关资料。统计多层螺旋CT扫描的患者冠脉钙化总积分。应用Spearman秩相关分析进行冠脉钙化与冠脉病变的相关性。结果 51例患者钙化积分为0~2645.6分，平均钙化积分为（285.66±420.87）分，其中钙化积分为0分的患者有6例（11.80%）。Spearman秩相关分析显示，钙化积分与反映冠脉病变严重程度的变量冠脉狭窄病变≥50%的病变支数、冠脉狭窄病变≥50%的血管节段数、冠脉狭窄病变≥75%的血管节段数呈相关程度较弱的正相关（r=0.291~0.319，P＜0.05）；钙化积分与Gensini积分无相关性（r=0.264，P＞0.05）。钙化积分与年龄无相关性（r=0.253，P＞0.05）。结论 冠脉钙化总积分与冠脉病变的严重程度呈相关较弱的非线性正相关，冠脉钙化程度较难预测冠脉病变的狭窄程度。
Abstract:
Objective To investigate the correlation between coronary artery calcification and the severity of coronary artery disease.Methods A retrospective analysis was performed on the relevant data of 51 patients admitted to our hospital from January 2017 to July 2018 who underwent selective coronary angiography (CAG) examination at 256-slice spiral CT within 30 d. Total coronary calcification scores of patients with multi-slice spiral CT scans were counted. Spearman rank correlation analysis was used to correlate coronary calcification with coronary lesions. Results The calcification score of 51 patients was 0 to 2645.6 points, and the average calcification score was (285.66±420.87) points, of which 6 patients (11.80%) had calcification scores of 0. Spearman rank correlation analysis showed that the calcification score and the variables reflecting the severity of coronary artery disease were≥50% of the number of lesions in coronary stenosis, the number of vascular segments of coronary stenosis≥50%, and the blood vessels of coronary stenosis≥75% of the number of segments showed a weak positive correlation(r=0.291~0.319,P<0.05); there was no correlation between calcification score and Gensini score(r=0.264,P>0.05). Conclusion The total score of coronary calcification has a weak non-linear positive correlation with the severity of coronary lesions. It is difficult to predict the stenosis of coronary lesions.

参考文献/References:

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更新日期/Last Update: 2020-01-01