[摘要]目的 探讨冠心病冠状动脉造影(CAG)的X线表现及左室壁瘤的形成与冠脉病变支数、侧支循环的关系。 方法 用Judkins法行选择性左、右冠脉造影及左室造影308例，观察冠脉及左室病变的形态、范围和程度等，进行统计学分析。 结果 308例冠脉造影中，冠心病179例(58.1%)，其中单支血管病变82例(45.8%)、双支56例(31.3%)、3支35例(19.6%)、4支6例(3.4%)。共累及323支血管，其中前降支(LAD)139支(43.0%)、回旋支(LCX)72支(22.3%)、右冠状动脉(RCA)95支(29.4%)、左主干(LM)17支(5.3%)。出现侧支循环27例、真性室壁瘤52例，其中同时出现侧支和室壁瘤的22例;左室附壁血栓7例，二尖瓣反流5例，左房血栓2例。 结论 CAG能直接显示冠脉病变的形态、范围和程度，冠心病室壁瘤的形成与冠脉病变支数、侧支循环有较密切的关系。

    [关键词] 冠心病;冠状动脉;血管造影;室壁瘤

    Investigation of selective coronary artery angiography in308cases

    ZENG Wen-yan，WU Xing-jie，ZHUANG Niang-tuo，LIANG Zhi-rong，HUANG Yi，DENG Jun

    (Department of Radiology，Guangzhou Railway Central Hospital，Guangzhou510080，China)

    Abstract:Objective To evaluate the angiographic findings of coronary heart disease，and to study the correlativity both between ventricular aneurysm with quantity of the abnormal coronary artery and between ventricular aneurysm with collateral circulation in coronary heart disease.Methods The selective coronary angiography and the left ventricular angiocardiography were performed in308cases.Results The abnor-malities of coronary arteries were demonstrated in179of308patients ......