中国医学装备
中國醫學裝備
중국의학장비
China Medical Equipment
2015年
11期
46-48,49
,共4页
钙化积分%多层螺旋CT%冠状动脉%斑块%血管造影
鈣化積分%多層螺鏇CT%冠狀動脈%斑塊%血管造影
개화적분%다층라선CT%관상동맥%반괴%혈관조영
Calcium score%Multislice CT%Coronary%Plaque%Angiography
目的：探讨飞利浦256层螺旋CT冠状动脉血管造影(256-SCTCA)图像上多种形态的冠状动脉钙化与冠状动脉管腔狭窄的关系，通过冠状动脉钙化积分和冠状动脉成像对急性冠脉事件进行预测价值研究。方法：选取400例疑诊冠心病患者，采用256-SCTCA进行冠状动脉增强扫描以及冠状动脉数字减影血管造影(DSA)，并运用自动分析软件进行冠状动脉钙化积分分析，比较两种检查方法的准确性，结合患者的临床资料对急性冠脉事件进行科学预测。结果：形态不同的冠状动脉钙化斑块导致局部管腔狭窄的比例均具有差异。以钙化积分标准对冠心病患者进行分组，伴随钙化积分的增多，冠心病的患病概率也随之增加。结论：多层螺旋CT冠状动脉钙化积分对诊断冠心病有较高的价值，钙化积分对判断冠状动脉狭窄程度有很高的特异度，值得临床推广和应用。
目的：探討飛利浦256層螺鏇CT冠狀動脈血管造影(256-SCTCA)圖像上多種形態的冠狀動脈鈣化與冠狀動脈管腔狹窄的關繫，通過冠狀動脈鈣化積分和冠狀動脈成像對急性冠脈事件進行預測價值研究。方法：選取400例疑診冠心病患者，採用256-SCTCA進行冠狀動脈增彊掃描以及冠狀動脈數字減影血管造影(DSA)，併運用自動分析軟件進行冠狀動脈鈣化積分分析，比較兩種檢查方法的準確性，結閤患者的臨床資料對急性冠脈事件進行科學預測。結果：形態不同的冠狀動脈鈣化斑塊導緻跼部管腔狹窄的比例均具有差異。以鈣化積分標準對冠心病患者進行分組，伴隨鈣化積分的增多，冠心病的患病概率也隨之增加。結論：多層螺鏇CT冠狀動脈鈣化積分對診斷冠心病有較高的價值，鈣化積分對判斷冠狀動脈狹窄程度有很高的特異度，值得臨床推廣和應用。
목적：탐토비리포256층라선CT관상동맥혈관조영(256-SCTCA)도상상다충형태적관상동맥개화여관상동맥관강협착적관계，통과관상동맥개화적분화관상동맥성상대급성관맥사건진행예측개치연구。방법：선취400례의진관심병환자，채용256-SCTCA진행관상동맥증강소묘이급관상동맥수자감영혈관조영(DSA)，병운용자동분석연건진행관상동맥개화적분분석，비교량충검사방법적준학성，결합환자적림상자료대급성관맥사건진행과학예측。결과：형태불동적관상동맥개화반괴도치국부관강협착적비례균구유차이。이개화적분표준대관심병환자진행분조，반수개화적분적증다，관심병적환병개솔야수지증가。결론：다층라선CT관상동맥개화적분대진단관심병유교고적개치，개화적분대판단관상동맥협착정도유흔고적특이도，치득림상추엄화응용。
Objective:To investigate the Philips 256-slice CT coronary angiography images on a variety of forms of coronary artery calcification and coronary stenosis in relation to predict the value of the study of acute coronary events by coronary angiography and coronary artery calcification score.Methods: From May 2014 to February 2015 in the Third Affiliated Hospital of Qiqihar in patients with suspected coronary artery disease, with256-slice spiral CT coronary artery enhancement scanning and DSA, and using software of automatic analysis for coronary artery calcium score analysis, and comparing the accuracy of the two methods of inspection, combined with the clinical data of patients with scientific prediction of acute coronary events.Results: Different forms of coronary artery calcified plaque resulting in local differences in the proportion of luminal stenosis were statistically significant. AS calcium score standard are in grouped in patients with coronary heart disease (CHD),along with increasing calcium score,the risk of coronary heart disease also increase.Conclusion: The diagnosis of coronary artery calcification score of coronary heart disease have a higher value. Calcium score for judging coronary artery stenosis to have high specific degrees, worthy of clinical popularization and application.
