中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
35-36
,共2页
冠状动脉疾病%放射CT%血管造影%临床诊断
冠狀動脈疾病%放射CT%血管造影%臨床診斷
관상동맥질병%방사CT%혈관조영%림상진단
Coronary artery disease%Radiation CT angiography%Clinical diagnosis
目的：探讨放射CT血管造影对冠状动脉疾病的检测效果。方法选取我院2012年8月至2013年8月收治的52例冠状动脉疾病患者为对象，进行放射CT血管造影扫描检查，分别对每例病患的原始检查数据进行1 mm与3 mm重建，探究其临床诊断价值。结果1 mm组冠状动脉钙化斑块检测出53个，其中冠状动脉小钙化斑块数量为44个。把1 mm组进行重建，并以所得数据作为参考标准，3 mm组检测出钙化斑块数量为45个，检查敏感性为84.90%，其中冠状动脉小钙化斑块数量为34个，检查敏感性为77.27%。1 mm组与3 mm组患者冠状动脉钙化斑块与小钙化斑块检测数量比有明显差异，后者数量与敏感性相对较低，P<0.05，具有统计学意义。另外，冠状动脉狭窄敏感性检测为93.7%，特异性检测为93.7%，阳性、阴性预测值分别为90.6%、96.9%。结论使用放射CT血管造影进行冠状动脉疾病检测时，不同层建厚度所检测出的钙化斑块情况是有差别的，且放射CT血管造影在诊断冠心病钙化斑块、冠状动脉血管狭窄方面效果显著，值得临床推广使用。
目的：探討放射CT血管造影對冠狀動脈疾病的檢測效果。方法選取我院2012年8月至2013年8月收治的52例冠狀動脈疾病患者為對象，進行放射CT血管造影掃描檢查，分彆對每例病患的原始檢查數據進行1 mm與3 mm重建，探究其臨床診斷價值。結果1 mm組冠狀動脈鈣化斑塊檢測齣53箇，其中冠狀動脈小鈣化斑塊數量為44箇。把1 mm組進行重建，併以所得數據作為參攷標準，3 mm組檢測齣鈣化斑塊數量為45箇，檢查敏感性為84.90%，其中冠狀動脈小鈣化斑塊數量為34箇，檢查敏感性為77.27%。1 mm組與3 mm組患者冠狀動脈鈣化斑塊與小鈣化斑塊檢測數量比有明顯差異，後者數量與敏感性相對較低，P<0.05，具有統計學意義。另外，冠狀動脈狹窄敏感性檢測為93.7%，特異性檢測為93.7%，暘性、陰性預測值分彆為90.6%、96.9%。結論使用放射CT血管造影進行冠狀動脈疾病檢測時，不同層建厚度所檢測齣的鈣化斑塊情況是有差彆的，且放射CT血管造影在診斷冠心病鈣化斑塊、冠狀動脈血管狹窄方麵效果顯著，值得臨床推廣使用。
목적：탐토방사CT혈관조영대관상동맥질병적검측효과。방법선취아원2012년8월지2013년8월수치적52례관상동맥질병환자위대상，진행방사CT혈관조영소묘검사，분별대매례병환적원시검사수거진행1 mm여3 mm중건，탐구기림상진단개치。결과1 mm조관상동맥개화반괴검측출53개，기중관상동맥소개화반괴수량위44개。파1 mm조진행중건，병이소득수거작위삼고표준，3 mm조검측출개화반괴수량위45개，검사민감성위84.90%，기중관상동맥소개화반괴수량위34개，검사민감성위77.27%。1 mm조여3 mm조환자관상동맥개화반괴여소개화반괴검측수량비유명현차이，후자수량여민감성상대교저，P<0.05，구유통계학의의。령외，관상동맥협착민감성검측위93.7%，특이성검측위93.7%，양성、음성예측치분별위90.6%、96.9%。결론사용방사CT혈관조영진행관상동맥질병검측시，불동층건후도소검측출적개화반괴정황시유차별적，차방사CT혈관조영재진단관심병개화반괴、관상동맥혈관협착방면효과현저，치득림상추엄사용。
Objective to investigate the detection effect of radiation CT angiography of coronary artery disease. Methods 52 cases of patients with coronary artery disease in our hospital from 2012 August to 2013 August were as the object of radiation CT an-giography scan were 1 mm and 3 mm reconstruction for each patient of the original test data, to explore the clinical diagnosis val-ue. Results of the 1 mm group coronary artery calcified plaque detected 53, of which the number of coronary calcified plaque was 44. The 1 group mm were reconstructed, and the data as the reference standard, 3 mm were detected for the number of calcified plaque was 45, sensitivity was 84.90%, of which the number of coronary calcified plaque was 34, sensitivity was 77.27%. 1 mm group and 3 patients in the MM group coronary artery calcified plaque and small calcified plaque detection than the latter. There was obvious difference in number and relatively low sensitivity to P <0.05, with statistical significance. In addition, the detection sensitivity of coronary artery stenosis was 93.7%, specificity of 93.7%, positive and negative predictive values were 90.6% and 96.9%. Conclusion the use of radiation CT angiography for detecting coronary artery disease, calcified plaque of different layer thickness detected is different, and the radiation CT angiography in the diagnosis of coronary calcified plaque, coronary artery stenosis was significant effect, worthy of clinical popularization and use.
