湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
JOURNAL OF HUNAN NORMAL UNIVERSITY(MEDICAL SCIENCE)
2015年
2期
129-131
,共3页
黄作霖%谢应朗%邹间%周江%辜强
黃作霖%謝應朗%鄒間%週江%辜彊
황작림%사응랑%추간%주강%고강
64 排螺旋 CT%冠心病%冠脉造影
64 排螺鏇 CT%冠心病%冠脈造影
64 배라선 CT%관심병%관맥조영
64 slice spiral coronary artery CT%geratic coronary heart%coronary angiogram
目的：探讨64排螺旋 CT 冠脉成像在老年人冠心病的临床诊断价值。方法：选取我院2009年1月～2013年12月收治的临床诊断或怀疑老年冠心病患者80例，先后进行64排螺旋 CT 冠脉成像和常规冠脉造影，统计64排螺旋 CT 冠脉成像在检测冠心病中敏感性,特异性及诊断准确性。结果：以冠状动脉分支为基准，与金标准相比，64排螺旋 CT 诊断冠状动脉狭窄中度以及重度的总敏感性为92.9%，特异性为96.7%，阳性预测值为91.9%，阴性预测值为84.7%，准确度为95.3%；以冠状动脉节段为基准，64排螺旋 CT 诊断冠状动脉狭窄中度以及重度的总敏感性为95%，特异性为98.1%，阳性预测值为95.4%，阴性预测值为98%，准确度为97.2%。结论：64排螺旋 CT 冠脉成像不仅敏感性、特异性以及诊断准确性高，而且无创，是老年人冠心病患者的首选诊断方法，值得临床推广使用。
目的：探討64排螺鏇 CT 冠脈成像在老年人冠心病的臨床診斷價值。方法：選取我院2009年1月～2013年12月收治的臨床診斷或懷疑老年冠心病患者80例，先後進行64排螺鏇 CT 冠脈成像和常規冠脈造影，統計64排螺鏇 CT 冠脈成像在檢測冠心病中敏感性,特異性及診斷準確性。結果：以冠狀動脈分支為基準，與金標準相比，64排螺鏇 CT 診斷冠狀動脈狹窄中度以及重度的總敏感性為92.9%，特異性為96.7%，暘性預測值為91.9%，陰性預測值為84.7%，準確度為95.3%；以冠狀動脈節段為基準，64排螺鏇 CT 診斷冠狀動脈狹窄中度以及重度的總敏感性為95%，特異性為98.1%，暘性預測值為95.4%，陰性預測值為98%，準確度為97.2%。結論：64排螺鏇 CT 冠脈成像不僅敏感性、特異性以及診斷準確性高，而且無創，是老年人冠心病患者的首選診斷方法，值得臨床推廣使用。
목적：탐토64배라선 CT 관맥성상재노년인관심병적림상진단개치。방법：선취아원2009년1월～2013년12월수치적림상진단혹부의노년관심병환자80례，선후진행64배라선 CT 관맥성상화상규관맥조영，통계64배라선 CT 관맥성상재검측관심병중민감성,특이성급진단준학성。결과：이관상동맥분지위기준，여금표준상비，64배라선 CT 진단관상동맥협착중도이급중도적총민감성위92.9%，특이성위96.7%，양성예측치위91.9%，음성예측치위84.7%，준학도위95.3%；이관상동맥절단위기준，64배라선 CT 진단관상동맥협착중도이급중도적총민감성위95%，특이성위98.1%，양성예측치위95.4%，음성예측치위98%，준학도위97.2%。결론：64배라선 CT 관맥성상불부민감성、특이성이급진단준학성고，이차무창，시노년인관심병환자적수선진단방법，치득림상추엄사용。
Objective To investigate the diagnostic value of geratic coronary heart by 64 slice spiral coronary artery CT. Methods Selected 80 elderly patients diagnosed or suspected of coronary heart disease who doctored in our hospital during 2009 January to 2013 December.All patients had carried out 64 slice spiral CT coronary angiography and conventional coronary angiography. The Results of conventional coronary angiography as the gold standard to statistic of 64 slice spiral CT coronary artery imaging in elderly patients with coronary artery disease detection sensitivity, specificity and accuracy of diagnosis. Con-clusions The branch of coronary artery as the base, compared with the gold standard, the 64 row spiral CT in the diagnosis of moderate and severe coronary artery stenosis total sensitivity was 92.9%, specificity was 96.7%, the positive predictive value was 91.9%, the negative predictive value was 84.7%, the accuracy was 95.3%; The coronary artery segments as the base, 64 row spiral CT in the diagnosis of moderate and severe coronary artery stenosis total sensitivity was 95%, specificity was 98.1%, the positive predictive value was 95.4%, the negative predictive value was 98%, the accuracy was 97.2%. Conclusion:64 slice spiral CT coronary artery imaging is not only sensitive, specificity and diagnosis correctness is high, but also non-invasive, it is the preferred diagnostic method of elderly patients with coronary heart disease and worthy of clinical use.
