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目的探讨在行冠状动脉造影的成年人群中冠状动脉异常的发生情况及其临床意义。方法对行冠状动脉造影的患者中存在冠状动脉先天性及部分后天异常者的造影结果进行回顾性分析。结果 1875例冠状动脉造影患者中,检出各种类型冠状动脉异常共73例(3.89%),其中2.67%为冠状动脉先天性异常,占异常的68.49%:包括起源和分布异常、冠状动脉发育异常;右冠状动脉先天性异常远较左冠状动脉先天性异常多见;2例未能成功施行右冠状动脉选择性造影。结论临床上冠状动脉先天性异常并非罕见,其中部分类型可引起心肌缺血。冠状动脉异常对介入诊疗的操作方法、结果评判有一定影响。
Objective To investigate the incidence of coronary artery abnormalities and its clinical significance in adults undergoing coronary angiography. Methods We retrospectively analyzed the imaging results of patients with congenital coronary arteries and some acquired abnormalities in patients undergoing coronary angiography. Results Among 1875 coronary angiography patients, 73 cases (3.89%) of all kinds of coronary artery abnormalities were detected, of which 2.67% were congenital anomalies of coronary arteries, accounting for 68.49% of abnormalities including abnormalities of origin and distribution and coronary development Abnormalities; congenital anomalies of the right coronary artery far more common than the congenital anomalies of the left coronary artery; 2 cases failed to perform selective right coronary angiography. Conclusions Congenital anomalies of the coronary arteries are not uncommon in clinical practice. Some of them may cause myocardial ischemia. Coronary artery abnormalities interventional diagnosis and treatment methods, the results have a certain impact evaluation.