中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
2期
87-89
,共3页
心肌桥-壁冠状动脉血管%螺旋CT血管成像%冠状动脉血管造影
心肌橋-壁冠狀動脈血管%螺鏇CT血管成像%冠狀動脈血管造影
심기교-벽관상동맥혈관%라선CT혈관성상%관상동맥혈관조영
Myocardial bridge-wall coronary artery%Spiral CT angiography%Coronary angiography
目的：讨论冠状动脉CT血管造影(CTA)技术对心肌桥-壁冠状动脉(MB-MCA)血管的形态学诊断价值。方法：对北京北亚医院心内科门诊及住院的疑似MB-MCA而自愿行CTA及冠状动脉造影(CAG)检查的377例患者资料进行总结分析，记录MB-MCA的发生类型及MB长度和MCA狭窄程度，并采用SPSS17.0统计学软件处理分析。结果：377例患者最终有103例确诊为MB-MCA(110段MB-MCA)。CTA与CAG两种检查手段对浅在型与深在型MB-MCA诊断经过Kappa分析比较后，Kappa值分别为0.803和1.000，两种检查方法在MB-MCA诊断中具有良好的一致性；CTA与CAG两种检查手段在诊断浅在型与深在型MB方面比较其差异有统计学意义(t=-5.149，t=-2.457；P＜0.05)。结论：在诊断MB-MCA方面，CTA技术与CAG具有较好的一致性，可实现优势互补，结合各自的优点提高MB-MCA的诊断准确率，为临床提供更加丰富的诊断信息。
目的：討論冠狀動脈CT血管造影(CTA)技術對心肌橋-壁冠狀動脈(MB-MCA)血管的形態學診斷價值。方法：對北京北亞醫院心內科門診及住院的疑似MB-MCA而自願行CTA及冠狀動脈造影(CAG)檢查的377例患者資料進行總結分析，記錄MB-MCA的髮生類型及MB長度和MCA狹窄程度，併採用SPSS17.0統計學軟件處理分析。結果：377例患者最終有103例確診為MB-MCA(110段MB-MCA)。CTA與CAG兩種檢查手段對淺在型與深在型MB-MCA診斷經過Kappa分析比較後，Kappa值分彆為0.803和1.000，兩種檢查方法在MB-MCA診斷中具有良好的一緻性；CTA與CAG兩種檢查手段在診斷淺在型與深在型MB方麵比較其差異有統計學意義(t=-5.149，t=-2.457；P＜0.05)。結論：在診斷MB-MCA方麵，CTA技術與CAG具有較好的一緻性，可實現優勢互補，結閤各自的優點提高MB-MCA的診斷準確率，為臨床提供更加豐富的診斷信息。
목적：토론관상동맥CT혈관조영(CTA)기술대심기교-벽관상동맥(MB-MCA)혈관적형태학진단개치。방법：대북경북아의원심내과문진급주원적의사MB-MCA이자원행CTA급관상동맥조영(CAG)검사적377례환자자료진행총결분석，기록MB-MCA적발생류형급MB장도화MCA협착정도，병채용SPSS17.0통계학연건처리분석。결과：377례환자최종유103례학진위MB-MCA(110단MB-MCA)。CTA여CAG량충검사수단대천재형여심재형MB-MCA진단경과Kappa분석비교후，Kappa치분별위0.803화1.000，량충검사방법재MB-MCA진단중구유량호적일치성；CTA여CAG량충검사수단재진단천재형여심재형MB방면비교기차이유통계학의의(t=-5.149，t=-2.457；P＜0.05)。결론：재진단MB-MCA방면，CTA기술여CAG구유교호적일치성，가실현우세호보，결합각자적우점제고MB-MCA적진단준학솔，위림상제공경가봉부적진단신식。
Objective: To discuss the morphologic diagnosis value of CTA technical on myocardial bridge-wall coronary artery. Methods: Three hundred and seventy seven patients suspected MB-MCA and with CTA and CAG inspection voluntary in cardiology clinic or hospital were analyzed, and the occurrence of type MB-MCA and MCA MB length and degree of stenosis were recorded, the results were analyzed using SPSS17.0 statistical software. Results:103 cases of 377 were diagnosed as final MB-MCA, and there were 110 MB-MCA in total. CTA and CAG checked by means of two kinds of shallow and deep in the model type MB-MCA diagnostic analysis were compared through Kappa analysis, the Kappa value were 0.803 and 1.000. Two methods had a good consistency in the diagnosis of MB-MCA;There were statistically significant in CTA and CAG two kinds of examination methods in the diagnosis of superficial in type (t=-5.149)and deep in the type MB (t=-2.457, P=0.024)(P<0.05). Conclusion:The multi-slice spiral CT angiography CTA technology has good consistency with CAG in MB-MCA diagnosis, can achieve complementary advantages, can combine their respective advantages MB-MCA to improve the diagnostic accuracy for clinical richer diagnostic information.
