蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
8期
1029-1031,1035
,共4页
冠状动脉疾病%CT冠状动脉成像%选择性冠状动脉造影%64排128层螺旋CT
冠狀動脈疾病%CT冠狀動脈成像%選擇性冠狀動脈造影%64排128層螺鏇CT
관상동맥질병%CT관상동맥성상%선택성관상동맥조영%64배128층라선CT
coronary disease%CT coronary artery imaging%selective coronary angiography%64 row CT 128 layer
目的：：比较128层螺旋CT冠状动脉(冠脉)成像与选择性冠状动脉造影在冠心病诊断中的应用价值。方法：选择冠心病患者88例作为研究对象，均对每例患者的4支(左前降支、左旋支、左主干、右冠脉)血管共352支进行CT冠脉成像及选择性冠脉造影2种方法的检查，检测冠脉的图像特征，以冠脉造影为金标准，分析CT冠脉成像对冠心病诊断的敏感性、特异性、阳性预测值及阴性预测值。并对2种检测方法进行比较。结果：2种方法对冠脉狭窄的诊断结果差异无统计学意义(P>0.05)。 CT冠脉成像的诊断敏感度为97.24％，特异度为92.40％，阳性预测率为93.12％，阴性预测率为96.93％。2种方法对冠脉狭窄程度分级的诊断结果呈高度一致性(P<0.01)。结论：128层螺旋CT冠脉成像检测结果可以与冠脉造影相媲美，检测方便快捷、无创伤、辐射量低，可在临床推广使用。
目的：：比較128層螺鏇CT冠狀動脈(冠脈)成像與選擇性冠狀動脈造影在冠心病診斷中的應用價值。方法：選擇冠心病患者88例作為研究對象，均對每例患者的4支(左前降支、左鏇支、左主榦、右冠脈)血管共352支進行CT冠脈成像及選擇性冠脈造影2種方法的檢查，檢測冠脈的圖像特徵，以冠脈造影為金標準，分析CT冠脈成像對冠心病診斷的敏感性、特異性、暘性預測值及陰性預測值。併對2種檢測方法進行比較。結果：2種方法對冠脈狹窄的診斷結果差異無統計學意義(P>0.05)。 CT冠脈成像的診斷敏感度為97.24％，特異度為92.40％，暘性預測率為93.12％，陰性預測率為96.93％。2種方法對冠脈狹窄程度分級的診斷結果呈高度一緻性(P<0.01)。結論：128層螺鏇CT冠脈成像檢測結果可以與冠脈造影相媲美，檢測方便快捷、無創傷、輻射量低，可在臨床推廣使用。
목적：：비교128층라선CT관상동맥(관맥)성상여선택성관상동맥조영재관심병진단중적응용개치。방법：선택관심병환자88례작위연구대상，균대매례환자적4지(좌전강지、좌선지、좌주간、우관맥)혈관공352지진행CT관맥성상급선택성관맥조영2충방법적검사，검측관맥적도상특정，이관맥조영위금표준，분석CT관맥성상대관심병진단적민감성、특이성、양성예측치급음성예측치。병대2충검측방법진행비교。결과：2충방법대관맥협착적진단결과차이무통계학의의(P>0.05)。 CT관맥성상적진단민감도위97.24％，특이도위92.40％，양성예측솔위93.12％，음성예측솔위96.93％。2충방법대관맥협착정도분급적진단결과정고도일치성(P<0.01)。결론：128층라선CT관맥성상검측결과가이여관맥조영상비미，검측방편쾌첩、무창상、복사량저，가재림상추엄사용。
Objective:To compare the value between the 128-slice spiral CT coronary angiography and selective coronary arteriography in the diagnosis of coronary heart disease. Methods:Three hundred and fifty-two vessels(4 vessels each patients in 88 patients),which included left anterior descending artery,left circumflex branch,left main and right coronary artery,were detected using 128-slice spiral CT coronary angiography and selective coronary arteriography,respectively. The coronary image character was observed. The sensitivity, specificity,positive and negative predictive rates of CT coronary angiography in two kinds of detection methods were analyzed according to the golden standard of coronary angiography. Results:The difference of the coronary artery stenosis diagnosis between two kinds of detection methods was not statistically significant(P>0. 05). The sensitivity,specificity,positive and negative predictive rates of CT coronary angiography in two kinds of detection methods were 97. 24%,92. 40%,93. 12% and 96. 93%,respectively. The difference of the coronary artery stenosis staging between two kinds of detection methods was not statistically significant(P<0. 01). Conclusions:The detection result of 128-slice spiral CT coronary angiography is similar to the selective coronary arteriographye,which is convenient, noninvasive,low radiation,and can be widely used in clinical.
