中华消化病与影像杂志（电子版）
中華消化病與影像雜誌（電子版）
중화소화병여영상잡지（전자판）
2011年
1期
40-44
,共5页
何次%顾明%廖明松%杜飞舟%蒋锐%阳红艳
何次%顧明%廖明鬆%杜飛舟%蔣銳%暘紅豔
하차%고명%료명송%두비주%장예%양홍염
超声检查%冠状血管%冠状动脉疾病%多层螺旋CT
超聲檢查%冠狀血管%冠狀動脈疾病%多層螺鏇CT
초성검사%관상혈관%관상동맥질병%다층라선CT
Ultrasonograhy%Coronary artery%Coronary artery disease%Multi-slice spiral CT
目的 探讨多层螺旋CT冠状动脉成像(MSCT)、自动室壁分区运动分析及全方位M型超声心动图( ASMA -FAM)在冠心病诊断中的价值.方法 对经临床确诊的48例冠心病患者行MSCT、ASMAFAM检查,并与选择性冠状动脉造影(SCA)进行对照分析,分别计算MSCT、ASMA -FAM诊断的敏感度、特异度、准确率、阳性预测值和阴性预测值.结果 MSCT和ASMA-FAM的敏感度、特异度、准确率、阳性预测值、阴性预测值分别为93.0％,95.5％,94.6％,92.1％,96.1％；83.3％,75.1％,78.8％,73.7％,84.2％；MSCT、ASMA-FAM敏感度、特异度、准确率、阳性预测值、阴性预测值分别为97.4％,68.8％,81.9％,72.5％,97.0％(x2=358.4 r=0.608 P＜0.01).结论 MSCT与ASMA -FAM均是诊断冠心病的有效方法,两者联合应用可提高冠心病检出的敏感性和阴性预测值,但特异性降低.
目的 探討多層螺鏇CT冠狀動脈成像(MSCT)、自動室壁分區運動分析及全方位M型超聲心動圖( ASMA -FAM)在冠心病診斷中的價值.方法 對經臨床確診的48例冠心病患者行MSCT、ASMAFAM檢查,併與選擇性冠狀動脈造影(SCA)進行對照分析,分彆計算MSCT、ASMA -FAM診斷的敏感度、特異度、準確率、暘性預測值和陰性預測值.結果 MSCT和ASMA-FAM的敏感度、特異度、準確率、暘性預測值、陰性預測值分彆為93.0％,95.5％,94.6％,92.1％,96.1％；83.3％,75.1％,78.8％,73.7％,84.2％；MSCT、ASMA-FAM敏感度、特異度、準確率、暘性預測值、陰性預測值分彆為97.4％,68.8％,81.9％,72.5％,97.0％(x2=358.4 r=0.608 P＜0.01).結論 MSCT與ASMA -FAM均是診斷冠心病的有效方法,兩者聯閤應用可提高冠心病檢齣的敏感性和陰性預測值,但特異性降低.
목적 탐토다층라선CT관상동맥성상(MSCT)、자동실벽분구운동분석급전방위M형초성심동도( ASMA -FAM)재관심병진단중적개치.방법 대경림상학진적48례관심병환자행MSCT、ASMAFAM검사,병여선택성관상동맥조영(SCA)진행대조분석,분별계산MSCT、ASMA -FAM진단적민감도、특이도、준학솔、양성예측치화음성예측치.결과 MSCT화ASMA-FAM적민감도、특이도、준학솔、양성예측치、음성예측치분별위93.0％,95.5％,94.6％,92.1％,96.1％；83.3％,75.1％,78.8％,73.7％,84.2％；MSCT、ASMA-FAM민감도、특이도、준학솔、양성예측치、음성예측치분별위97.4％,68.8％,81.9％,72.5％,97.0％(x2=358.4 r=0.608 P＜0.01).결론 MSCT여ASMA -FAM균시진단관심병적유효방법,량자연합응용가제고관심병검출적민감성화음성예측치,단특이성강저.
Objective To compare multi-slice spiral CT (MSCT), automated segmental motion analysis, free angel mode (ASMA-FAM) with conventional coronary angiography (CAG) in patients with coronary artery disease. Methods A retrospective study was undertaken in 48 cases which were performed with MSCT、ASMA-FAM and CAG within 7 ds. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were calculated using CAG as reference and gold standard. Results Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of MSCT and ASMA-FAM in diagnosis of coronary artery disease were 93.0％, 95.5％, 94.6％, 92.1％, 96.1％(x2=407.5 r=0.662P＜0.01);83.3％, 75.1％, 78.8％, 73.7％, 84.2％(x2=259.0 r=0.568 P＜0.01), respectively. Conclusion Both MSCT and ASMA- FAM are available in the diagnosis of coronary artery disease, and sensitivity and negative predicative value are improved if MSCT and ASMA-FAM are used at the same time.
