摘要
目的:探讨MSCT冠状动脉成像(CTCA)在儿童川崎病冠状动脉病变诊断及随访中的应用价值。方法:回顾性分析83例川崎病患儿的115次CTCA检查影像资料,总结川崎病导致冠状动脉病变的影像学表现特点及动态变化情况。结果:83例川崎病冠状动脉损害共累及163支血管,按照CTCA表现主要分为冠状动脉钙化、冠状动脉扩张、冠状动脉瘤形成、冠状动脉狭窄。163支病变血管中冠状动脉钙化24支(14.72%,24/163),冠状动脉扩张36支(22.09%,36/163),冠状动脉瘤形成83支(50.92%,83/163),冠状动脉狭窄20支(12.27%,20/163)。24例CTCA复查患儿共累及43支冠脉病变,其中加重26支(60.5%),维持不变8支(18.6%),减轻(或恢复)9支(20.9%)。结论:CTCA能清晰显示儿童川崎病冠状动脉病变的影像特点,在诊断及追踪评价儿童川崎病冠状动脉病变方面具有重要价值。
Objective:To assess the value of computed tomography coronary angiography(CTCA)in the diagnosis and follow-up of coronary artery lesions in Kawasaki disease in pediatric patients.Methods:A total of 115 CTCA imaging materials in 83 pediatric patients with Kawasaki disease were retrospective analyzed,including the characteristics of coronary artery lesions and their dynamic changes.Results:Of the coronary artery lesions in 83 cases with Kawasaki disease,altogether 163 vessels were involved.According to the CTCA manifestations,they were mainly be divided into 4 categories:coronary artery calcification,(n=24,21.69%).Coronary artery dilatation,(n=36,22.09%);Coronary aneurysm,(n=83,50.92%);Coronary artery stenosis,(n=20,12.27%).Of the 24 cases(43vessels)having follow-up,there were 26 vessels(60.5%)showing exacerbated;8 vessels(18.6%)remained unchanged,9 vessels(23.3%)showing improvement.Conclusions:CTCA can clearly display the imaging features of coronary artery lesion in Kawasaki disease in children,which plays an important role in the diagnosis and follow-up.
作者
吴慧莹
张明杰
张静
徐文彪
鹿连伟
WUHui-ying;ZHANG Ming-jie;ZHANG Jing(Department of Radiology,Guangzhou Women and children's Medical Center,Guangzhou 510623,China)
出处
《放射学实践》
北大核心
2019年第1期79-84,共6页
Radiologic Practice
基金
广州市医药卫生科技项目(20161A010025)
