CAJ | 학술논문

目的：对比研究128层CT和超声心动图诊断川崎病冠状动脉病变的诊断价值。方法将我院23例川崎病冠状动脉病变的患者同时进行2种检查，以128层CT冠状动脉成像为标准，超声与之对比，并作进一步分析。结果经128层CT进行诊断冠状动脉扩张患者13例（57％），冠状动脉狭窄患者2例（9％），冠状动脉瘤患者4例（17％），中小动脉病变4例（17％）；经超声心动图进行诊断，冠状动脉扩张患者9例（39％），冠状动脉狭窄患者1例（4％），冠状动脉瘤患者2例（9％），中小动脉病变2例（9％），2种诊断结果比较差异有统计学意义（P＜0．05）。结论128层CT的特异性、敏感性高于超声诊断川崎病冠状动脉病变，安全，有效，可在临床上广泛应用。
목적：대비연구128층CT화초성심동도진단천기병관상동맥병변적진단개치。방법장아원23례천기병관상동맥병변적환자동시진행2충검사，이128층CT관상동맥성상위표준，초성여지대비，병작진일보분석。결과경128층CT진행진단관상동맥확장환자13례（57％），관상동맥협착환자2례（9％），관상동맥류환자4례（17％），중소동맥병변4례（17％）；경초성심동도진행진단，관상동맥확장환자9례（39％），관상동맥협착환자1례（4％），관상동맥류환자2례（9％），중소동맥병변2례（9％），2충진단결과비교차이유통계학의의（P＜0．05）。결론128층CT적특이성、민감성고우초성진단천기병관상동맥병변，안전，유효，가재림상상엄범응용。
Objective To comparatively study the values of 128 layer CT and ultrasonic cardiogram in the di-agnosis of coronary artery disease of kawasaki disease. Methods Twenty-three patients with coronary artery disease in kawasaki disease treated in our hospital underwent 2 examination methods at the same time, and the results of 2 groups were compared. Results Thirteen patients were diagnosed with coronary artery ectasia in experimental group by 128 layer CT (57%), and 2 patients were diagnosed with coronary artery stenosis (9%), 4 patients with coronary artery aneurysm (17%), and 4 patients with distributing arteries and arteriole leison (17%); by uttrasonic cardiogram 9 patients were diagnosed with coronary artery ectasia by ultrasonic cardiogram (39%), and 1 patient were diagnosed with coronary artery stenosis (4%), 2 patients with coronary artery aneurysm (9%), and 2 patients with distributing ar-teries and arteriole leison (9%), differences between 2 groups were statistically significant ( P<0.05). Conclusion The specificity, sensitivity of 128-slice CT is higher than ultrasonic cardiogram in the diagnosis of kawasaki disease of coronary artery lesions. It is safe and effective, which can be widely used in clinical practice.