中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
10期
50-53
,共4页
冠心病%冠状动脉成像%螺旋 CT%冠状动脉造影
冠心病%冠狀動脈成像%螺鏇 CT%冠狀動脈造影
관심병%관상동맥성상%라선 CT%관상동맥조영
Coronary Heart Disease%Coronary Artery Imaging%Spiral CT%Coronary Angiography
目的：探讨128层螺旋CT冠状动脉成像技术在冠心病患者中的应用价值。方法以我院放射科收治的124例冠心病患者作为研究对象，根据其临床资料进行回顾性分析和总结。患者均进行螺旋CT冠状动脉成像检查和冠状动脉造影检查，以冠状动脉造影检查结果为金标准，分析128层螺旋CT冠状动脉成像诊断冠心病的敏感性、特异性等。结果冠状动脉造影显示冠状动脉轻度狭窄58例，中度狭窄62例，中度狭窄52例，闭塞17例；128层螺旋CT冠状动脉成像显示冠状动脉轻度狭窄67例，中度53例，重度46例，闭塞17例，两种诊断方式相比，差异无统计学意义(P＞0.05)；螺旋CT冠状动脉成像诊断冠状动脉狭窄的敏感性为95.9%，特异性为96.3%，阳性预测值为92.3%，阴性预测值为97.9%。结论128层螺旋CT冠状动脉成像技术在冠心病的诊断中具有重要价值，可以和冠状动脉造影相媲美，具有较高的敏感性、特异性，能提高诊断率，是一种无创、完全的检查方式，为诊断冠心病的理想选择。
目的：探討128層螺鏇CT冠狀動脈成像技術在冠心病患者中的應用價值。方法以我院放射科收治的124例冠心病患者作為研究對象，根據其臨床資料進行迴顧性分析和總結。患者均進行螺鏇CT冠狀動脈成像檢查和冠狀動脈造影檢查，以冠狀動脈造影檢查結果為金標準，分析128層螺鏇CT冠狀動脈成像診斷冠心病的敏感性、特異性等。結果冠狀動脈造影顯示冠狀動脈輕度狹窄58例，中度狹窄62例，中度狹窄52例，閉塞17例；128層螺鏇CT冠狀動脈成像顯示冠狀動脈輕度狹窄67例，中度53例，重度46例，閉塞17例，兩種診斷方式相比，差異無統計學意義(P＞0.05)；螺鏇CT冠狀動脈成像診斷冠狀動脈狹窄的敏感性為95.9%，特異性為96.3%，暘性預測值為92.3%，陰性預測值為97.9%。結論128層螺鏇CT冠狀動脈成像技術在冠心病的診斷中具有重要價值，可以和冠狀動脈造影相媲美，具有較高的敏感性、特異性，能提高診斷率，是一種無創、完全的檢查方式，為診斷冠心病的理想選擇。
목적：탐토128층라선CT관상동맥성상기술재관심병환자중적응용개치。방법이아원방사과수치적124례관심병환자작위연구대상，근거기림상자료진행회고성분석화총결。환자균진행라선CT관상동맥성상검사화관상동맥조영검사，이관상동맥조영검사결과위금표준，분석128층라선CT관상동맥성상진단관심병적민감성、특이성등。결과관상동맥조영현시관상동맥경도협착58례，중도협착62례，중도협착52례，폐새17례；128층라선CT관상동맥성상현시관상동맥경도협착67례，중도53례，중도46례，폐새17례，량충진단방식상비，차이무통계학의의(P＞0.05)；라선CT관상동맥성상진단관상동맥협착적민감성위95.9%，특이성위96.3%，양성예측치위92.3%，음성예측치위97.9%。결론128층라선CT관상동맥성상기술재관심병적진단중구유중요개치，가이화관상동맥조영상비미，구유교고적민감성、특이성，능제고진단솔，시일충무창、완전적검사방식，위진단관심병적이상선택。
Objective This paper is to explore the application value of 128-slice spiral CT coronary artery imaging in patients with coronary heart disease (CHD).Methods One hundred and twenty four patients with coronary heart disease (CHD) admitted in the Radiology Department of the Hospital were selected as research subjects, and retrospective analysis and summary were made according to clinical data. All patients were subject to spiral coronary CT artery imaging and coronary artery angiography, coronary angiography result was treated as the gold standard, the sensitivity and specificity of 128-slice spiral CT coronary artery imaging in the diagnosis of coronary heart disease (CHD) were analyzed. Results Coronary angiography showed 58 patients had mild coronary artery stenosis, 62 patients had moderate stenosis, 52 patients had moderate coronary artery stenosis, and 17 patients suffered from occlusion. 128-slice spiral CT coronary artery imaging showed 67 patients had mild coronary artery stenosis, 53 patients suffered from moderate coronary artery stenosis, 46 patients had severe coronary artery stenosis, 17 patients suffered from occlusion, there was no statistically significant difference (P>0.05) when two types of diagnostic methods were compared. The sensitivity and specificity of spiral CT coronary artery imaging in the diagnosis of coronary artery stenosis hit 95.9% and 96.3% respectively, positive predictive value hit 92.3%, and negative predictive value hit 97.9%.Conclusion 128-slice spiral CT coronary artery imaging delivers important value in the diagnosis of coronary heart disease, and it is comparable to coronary angiography. This technique is provided with high sensitivity and specificity, and it can improve the diagnostic rate, becoming a type of noninvasive and complete inspection way and ideal option for the diagnosis of coronary heart disease (CHD).
