CAJ | 학술논문

目的:探讨320排螺旋CT冠状动脉成像对冠心病诊断的临床应用价值.方法:85例病人先后进行320排螺旋CT冠状动脉成像(SCTCA)和选择性冠状动脉造影(CAG).以CAG为诊断冠心病(CHD)的“金标准”,比较320排螺旋CT检出CHD的敏感度,特异度,阳性预测值,阴性预测值和准确度.结果:320排螺旋CT诊断CHD的敏感性,特异性,阳性预测值,阴性预测值,准确度分别是:95.65％(44/46)、74.36％(29/39)、81.48％(44/54)、93.55％(29/31)、85.9％ (73/85).结论:320排螺旋CT冠状动脉成像是一种简单易行、安全可靠的无创性检查,可作为冠心病的筛选及术后复查的方法.
목적:탐토320배라선CT관상동맥성상대관심병진단적림상응용개치.방법:85례병인선후진행320배라선CT관상동맥성상(SCTCA)화선택성관상동맥조영(CAG).이CAG위진단관심병(CHD)적“금표준”,비교320배라선CT검출CHD적민감도,특이도,양성예측치,음성예측치화준학도.결과:320배라선CT진단CHD적민감성,특이성,양성예측치,음성예측치,준학도분별시:95.65％(44/46)、74.36％(29/39)、81.48％(44/54)、93.55％(29/31)、85.9％ (73/85).결론:320배라선CT관상동맥성상시일충간단역행、안전가고적무창성검사,가작위관심병적사선급술후복사적방법.
Abstract:Objective:To study clinical application value of 320-slice spiral computed tomography (SCTCA) for diagnosing coronary artery disease.Methods:A total of 85 patients underwent 320-slice spiral CT and selective coronary angiography (CAG).With CAG as gold standard diagnosing coronary heart disease (CHD),sensitivity,specificity,positive predictive value,negative predictive value and accuracy were compared between 320- SCTCA and CAG.Results:Sensitivity was 95.65％,specificity was 74.36％,positive predictive value was 81.48％,negative predictive value was 93.55％ and accuracy was 85.9％ diagnosing coronary artery disease by 320-slice spiral CT.Conclusion:320-slice spiral computed tomography is a simple,safe,reliable non-invasive measurement,may be used for screening coronary heart disease and reviewing after operation.