中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
4期
12-13
,共2页
4排螺旋CT%冠状动脉造影%冠状动脉粥样硬化性心脏病
4排螺鏇CT%冠狀動脈造影%冠狀動脈粥樣硬化性心髒病
4배라선CT%관상동맥조영%관상동맥죽양경화성심장병
4 -detectorrow spiral CT%Coronary angiography%Coronary artery disease
目的 探讨4排螺旋CT冠状造影在诊断冠状动脉粥样硬化性心脏病(简称冠心病)中的价值.方法 收集临床上初步拟诊为冠心病的35例患者的93支血管并进行螺旋CT冠状造影和常规冠状动脉造影检查,对比分析螺旋CT冠状造影的准确性.结果 螺旋CT冠状造影发现47支冠状动脉狭窄,常规冠状动脉造影检查发现51支冠状动脉狭窄.螺旋CT冠状造影发现的44支血管狭窄与冠状动脉造影结果一致,敏感性为86.3%,特异性为100%.螺旋CT冠状造影和常规冠状动脉造影检查结果大体一致.结论 4排螺旋CT冠状造影可作为诊断冠心病的一种无创筛选检查方法,提高了冠状动脉造影诊断冠心病的符合率.
目的 探討4排螺鏇CT冠狀造影在診斷冠狀動脈粥樣硬化性心髒病(簡稱冠心病)中的價值.方法 收集臨床上初步擬診為冠心病的35例患者的93支血管併進行螺鏇CT冠狀造影和常規冠狀動脈造影檢查,對比分析螺鏇CT冠狀造影的準確性.結果 螺鏇CT冠狀造影髮現47支冠狀動脈狹窄,常規冠狀動脈造影檢查髮現51支冠狀動脈狹窄.螺鏇CT冠狀造影髮現的44支血管狹窄與冠狀動脈造影結果一緻,敏感性為86.3%,特異性為100%.螺鏇CT冠狀造影和常規冠狀動脈造影檢查結果大體一緻.結論 4排螺鏇CT冠狀造影可作為診斷冠心病的一種無創篩選檢查方法,提高瞭冠狀動脈造影診斷冠心病的符閤率.
목적 탐토4배라선CT관상조영재진단관상동맥죽양경화성심장병(간칭관심병)중적개치.방법 수집림상상초보의진위관심병적35례환자적93지혈관병진행라선CT관상조영화상규관상동맥조영검사,대비분석라선CT관상조영적준학성.결과 라선CT관상조영발현47지관상동맥협착,상규관상동맥조영검사발현51지관상동맥협착.라선CT관상조영발현적44지혈관협착여관상동맥조영결과일치,민감성위86.3%,특이성위100%.라선CT관상조영화상규관상동맥조영검사결과대체일치.결론 4배라선CT관상조영가작위진단관심병적일충무창사선검사방법,제고료관상동맥조영진단관심병적부합솔.
Objective To explore the diagnosticclinical value of 4 -detector row spiral CT with coronary artery disease. Methods Spiral CT coronary angiography (CTCA) and conventionalcoronary angiography(CAG) were used in 93 arteries of 35 coronary artery disease patients. To analysis the precise level of CTCA through contrasting. Results CTCA showed the angiostegnosis with 47coronary arteries,CAG showed theangiostegnosis with 51coronary arteries. The angiostegnosis results of 44 coronary arteries were same with CTCA and CAG. The total sensitivity of CTCA was 86.3% , and specificity was 100%.The results of CTCA and CCA were coincidentalin general. Conclusions 4 - detector row spiral CT can be used as a noninvasive screening method for the patients with suspected coronary artery disease, and the coincidence ratewasincreased ofcoronary angiography with coronary artery disease.
