中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
20期
161-162
,共2页
双源CT%诊断%不同程度冠状动脉狭窄%临床价值
雙源CT%診斷%不同程度冠狀動脈狹窄%臨床價值
쌍원CT%진단%불동정도관상동맥협착%림상개치
Dual source CT%Diagnosis%Coronary artery stenosis%Clinical value
目的：探讨双源CT诊断不同程度冠状动脉狭窄的临床价值。方法选取来我院因临床拟诊冠心病而接受双源CT和传统冠状动脉造影检查的患者36例。结果双源CT检查结果与冠状动脉造影检查结果相比，其冠状动脉狭窄诊断的敏感度为94.7%、诊断特异性为95.5%、阳性预测值为83.4%、阴性预测值为98.78%，诊断准确率为95.3%。双源CT检查对重度狭窄诊断敏感度低于轻度狭窄和中度狭窄的诊断敏感度，比较差异具有统计学意义（P<0.05）。结论与传统冠状动脉狭窄诊断方式冠状动脉造影相比，双源CT扫描具有扫描迅速、诊断准确率较高，无创伤等临床优势。
目的：探討雙源CT診斷不同程度冠狀動脈狹窄的臨床價值。方法選取來我院因臨床擬診冠心病而接受雙源CT和傳統冠狀動脈造影檢查的患者36例。結果雙源CT檢查結果與冠狀動脈造影檢查結果相比，其冠狀動脈狹窄診斷的敏感度為94.7%、診斷特異性為95.5%、暘性預測值為83.4%、陰性預測值為98.78%，診斷準確率為95.3%。雙源CT檢查對重度狹窄診斷敏感度低于輕度狹窄和中度狹窄的診斷敏感度，比較差異具有統計學意義（P<0.05）。結論與傳統冠狀動脈狹窄診斷方式冠狀動脈造影相比，雙源CT掃描具有掃描迅速、診斷準確率較高，無創傷等臨床優勢。
목적：탐토쌍원CT진단불동정도관상동맥협착적림상개치。방법선취래아원인림상의진관심병이접수쌍원CT화전통관상동맥조영검사적환자36례。결과쌍원CT검사결과여관상동맥조영검사결과상비，기관상동맥협착진단적민감도위94.7%、진단특이성위95.5%、양성예측치위83.4%、음성예측치위98.78%，진단준학솔위95.3%。쌍원CT검사대중도협착진단민감도저우경도협착화중도협착적진단민감도，비교차이구유통계학의의（P<0.05）。결론여전통관상동맥협착진단방식관상동맥조영상비，쌍원CT소묘구유소묘신속、진단준학솔교고，무창상등림상우세。
Objective To investigate the clinical value of dual source CT in the diagnosis of coronary artery stenosis.MethodsThirty-six patients with clinicaly suspected coronary heart disease in our hospital received with dual source CT and conventional coronary angiography.Results Dual source CT findings and coronary angiography results were compared and the diagnosis of coronary artery stenosis sensitivity for 94.7%,specificity of diagnosis of 95.5%,the positive predictive value for 83.4%,the negative predictive value was 98.78%. The diagnostic accuracy rate was 95.3%. Dual source CT in the diagnosis of severe stenosis diagnostic sensitivity was significantly lower than that of mild stenosis,moderate stenosis diagnosis sensitivity, he difference had statistical significance(P< 0.05).Conclusion With the traditional coronary artery stenosis diagnosis coronary angiography were compared with and dual source CT scan with rapid scanning,high accuracy in the diagnosis and noninvasive clinical advantage.
