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目的探讨64层螺旋CT在川崎病冠状动脉病变中的应用价值。方法回顾性分析川崎病20例,所有患者均行64层螺旋CT冠状动脉造影和彩色多普勒超声检查,并对伴有冠状动脉病变患儿进行随访。结果典型川崎病患者15例,其中9例CT和彩色多普勒超声冠状动脉检查均未见异常,5例显示相同(2例左、右冠状动脉扩张,2例冠状动脉瘤形成,1例巨大动脉瘤伴附壁血栓),1例CT示左、右冠状动脉中远段多发瘤样扩张,B超未见明显异常。非典型川崎病患者5例,其中3例CT和B超冠状动脉检查均显示相同(2例冠状动脉瘤,1例双侧冠状动脉增粗迂曲),2例B超未见异常,CT示冠状动脉均有病变(1例冠状动脉瘤,1例冠状动脉狭窄)。结论64层螺旋CT冠状动脉造影对川崎病冠状动脉病变的诊断和随访很有价值。
Objective To investigate the value of 64-slice spiral CT in the diagnosis of coronary artery disease in Kawasaki disease. Methods Twenty cases of Kawasaki disease were retrospectively analyzed. All patients underwent 64-slice spiral CT coronary angiography and color Doppler ultrasonography. The patients with coronary artery disease were followed up. Results Fifteen patients with typical Kawasaki disease were diagnosed. Nine of them showed no abnormality in CT and color Doppler ultrasound coronary angiography, and the other five showed the same (two cases of left and right coronary artery dilation, two cases of coronary aneurysm formation and one case of giant aneurysm Aneurysm with mural thrombus). One case of CT showed multiple tumor-like dilatation in the middle and distal segments of the left and right coronary arteries, and no obvious abnormalities were observed in the B- 5 cases of atypical Kawasaki disease, including 3 cases of CT and B-Coronary artery examination showed the same (2 cases of coronary aneurysm, 1 case of bilateral coronary thickening and tortuosity), 2 cases of B-no abnormalities, CT showed coronary Arterial lesions (1 case of coronary aneurysm, 1 case of coronary artery stenosis). Conclusion 64-slice spiral CT coronary angiography is of great value in the diagnosis and follow-up of coronary artery lesions in Kawasaki disease.