中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
28期
119-121
,共3页
双能X线%慢性肾脏病%血管钙化%诊断价值
雙能X線%慢性腎髒病%血管鈣化%診斷價值
쌍능X선%만성신장병%혈관개화%진단개치
Dual energy X-ray%Chronic kidney disease%Vascular calcification%Diagnostic value
目的：探讨双能X线骨密度检测在慢性肾脏病(CKD)患者血管钙化诊断中的应用价值。方法选取2013年1月~2014年12月本院接诊的42例CKD 3~5期患者作为研究对象，所有患者均行双能X线检查。以多层螺旋CT诊断为金标准，评价双能X线检测在CKD 3~5期患者血管钙化诊断中的敏感度和特异性。结果多层螺旋 CT在 CKD 3期、CKD 4期、CKD 5期的检出率分别为33.3%、52.2%、100.0%，双能X线的检出率分别为22.2%、43.5%、90.0%，且多层螺旋CT的总检出率为59.5%，与双能X线检测的50.0%比较，差异无统计学意义(P跃0.05)。以多层螺旋CT检测为金标准，双能X线检测的特异性为100.0%，敏感度为84.0%。结论双能X线可应用于检测CKD 3~5期患者的血管钙化，具有较好的临床价值。
目的：探討雙能X線骨密度檢測在慢性腎髒病(CKD)患者血管鈣化診斷中的應用價值。方法選取2013年1月~2014年12月本院接診的42例CKD 3~5期患者作為研究對象，所有患者均行雙能X線檢查。以多層螺鏇CT診斷為金標準，評價雙能X線檢測在CKD 3~5期患者血管鈣化診斷中的敏感度和特異性。結果多層螺鏇 CT在 CKD 3期、CKD 4期、CKD 5期的檢齣率分彆為33.3%、52.2%、100.0%，雙能X線的檢齣率分彆為22.2%、43.5%、90.0%，且多層螺鏇CT的總檢齣率為59.5%，與雙能X線檢測的50.0%比較，差異無統計學意義(P躍0.05)。以多層螺鏇CT檢測為金標準，雙能X線檢測的特異性為100.0%，敏感度為84.0%。結論雙能X線可應用于檢測CKD 3~5期患者的血管鈣化，具有較好的臨床價值。
목적：탐토쌍능X선골밀도검측재만성신장병(CKD)환자혈관개화진단중적응용개치。방법선취2013년1월~2014년12월본원접진적42례CKD 3~5기환자작위연구대상，소유환자균행쌍능X선검사。이다층라선CT진단위금표준，평개쌍능X선검측재CKD 3~5기환자혈관개화진단중적민감도화특이성。결과다층라선 CT재 CKD 3기、CKD 4기、CKD 5기적검출솔분별위33.3%、52.2%、100.0%，쌍능X선적검출솔분별위22.2%、43.5%、90.0%，차다층라선CT적총검출솔위59.5%，여쌍능X선검측적50.0%비교，차이무통계학의의(P약0.05)。이다층라선CT검측위금표준，쌍능X선검측적특이성위100.0%，민감도위84.0%。결론쌍능X선가응용우검측CKD 3~5기환자적혈관개화，구유교호적림상개치。
Objective To exolore the application value of dual-energy X-ray in the detection of vascular calcification in chronic kidney disease (CKD) patients. Methods 42 cases of CKD 3-5 stages from January 2013 to December 2014 in our hospital were selected as the research objects.All patients were given dual-energy X-ray examination.The sensi-tivity and specificity of dual-energy X-ray examination in the diagnosis of vascular calcification in patients with CKD 3-5 stages were evaluated by using the gold standard of the diagnosis of multi-slice spiral CT. Results The detection rate in CKD 3-5 stages by multi-slice spiral CT was 33.3%,52.2%,100.0% respectively,while the detection rate in CKD 3-5 stages by dual-energy X-ray was 22.2%,43.5%,90.0% respectively.The total detection rate of multi-slice spiral CT was 59.5%,the otal detection rate of multi-slice spiral CT was 50.0%,there was no significant difference (P>0.05).The specificity of dual energy X-ray detection was 84%,and the sensitivity was 100%,with the detection of multi slice spiral CT as gold standard. Conclusion Dual-energy X-ray can be used in the detection of vascular calcification in chronic kidney disease of 3-5 stages and indicates good clinical value.
