CAJ | 학술논문

目的：探讨64排螺旋CT冠状动脉成像技术(CTCA)在冠状动脉疾病诊断中的应用价值。方法选取2010年1月~2014年1月所有在本院就治的冠状动脉疾病患者66例,对其进行64排螺旋CTCA检查(实验组)和冠状动脉造影(CAG)检查(对照组),比较两组的检查结果。结果64排螺旋CTCA与CAG对轻度及以下狭窄、中度狭窄、重度狭窄等检查结果比较,差异无统计学意义(P跃0.05)；以CAG检查结果为判断标准,64排螺旋CTCA检查的灵敏度为96.6%,特异度为98.4%,准确度为98.1%。结论64排螺旋CTCA诊断冠状动脉疾病发展及相关病变情况与CAG检查结果基本相符,可作为冠状动脉疾病的常规检查手段,具有一定的临床推广意义。
목적：탐토64배라선CT관상동맥성상기술(CTCA)재관상동맥질병진단중적응용개치。방법선취2010년1월~2014년1월소유재본원취치적관상동맥질병환자66례,대기진행64배라선CTCA검사(실험조)화관상동맥조영(CAG)검사(대조조),비교량조적검사결과。결과64배라선CTCA여CAG대경도급이하협착、중도협착、중도협착등검사결과비교,차이무통계학의의(P약0.05)；이CAG검사결과위판단표준,64배라선CTCA검사적령민도위96.6%,특이도위98.4%,준학도위98.1%。결론64배라선CTCA진단관상동맥질병발전급상관병변정황여CAG검사결과기본상부,가작위관상동맥질병적상규검사수단,구유일정적림상추엄의의。
Objective To investigate the application value of 64 row spiral CT coronary artery imaging techniques (CT-CA) in the diagnosis of coronary artery disease. Methods 66 patients with coronary artery disease treated in our hospi-tal from January 2010 to January 2014 were selected and they were given examination of 64 row spiral CTCA (the experi-mental group) and coronary angiography (CAG) (the control group),the examination results in the two groups was com-pared. Results There was no statistical difference of examination result for under the mild and mild stenosis,moderate stenosis, severe stenosis and so on between 64 row spiral CTCA and CAG (P>0.05);with the findings of CAG as the judgment standard, the sensitivity of 64 row spiral CTCA examination was 96.6%,the specificity was 98.4%,accuracy was 98.1%. Conclusion The examination result of 64 row spiral CTCA and CAG was basically consistent,and it can be used as a routine examination of coronary artery disease,and has certain clinical significance.