国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
21期
3174-3176
,共3页
256排螺旋CT血管造影%经导管行冠状动脉造影%冠状动脉狭窄
256排螺鏇CT血管造影%經導管行冠狀動脈造影%冠狀動脈狹窄
256배라선CT혈관조영%경도관행관상동맥조영%관상동맥협착
256-slice spiral CTA%Transcatheter coronary angiography%Coronary artery stenosis
目的 比较分析256排螺旋CT血管造影检查与经导管行冠状动脉造影对冠状动脉狭窄的诊断价值.方法 采用256排螺旋CT血管造影及经导管行冠状动脉造影对106例患者的冠状动脉影像表现进行评价.结果 通过与插管法造影对照显示,MDCT图像能够显示冠状动脉节段中度(≥50％)和高度狭窄(≥75％)总的敏感度为80.0％、特异度为98.1％、准确性为95.5％;MDCT图像能够显示冠状动脉节段中度(≥50％)和高度狭窄(≥75％)总的阳性预测值为87.8％、阴性预测值为96.7％.结论 256排螺旋CTA可作为冠状动脉狭窄患者的首选检查方案,与经导管行冠状动脉造影有良好的一致性.
目的 比較分析256排螺鏇CT血管造影檢查與經導管行冠狀動脈造影對冠狀動脈狹窄的診斷價值.方法 採用256排螺鏇CT血管造影及經導管行冠狀動脈造影對106例患者的冠狀動脈影像錶現進行評價.結果 通過與插管法造影對照顯示,MDCT圖像能夠顯示冠狀動脈節段中度(≥50％)和高度狹窄(≥75％)總的敏感度為80.0％、特異度為98.1％、準確性為95.5％;MDCT圖像能夠顯示冠狀動脈節段中度(≥50％)和高度狹窄(≥75％)總的暘性預測值為87.8％、陰性預測值為96.7％.結論 256排螺鏇CTA可作為冠狀動脈狹窄患者的首選檢查方案,與經導管行冠狀動脈造影有良好的一緻性.
목적 비교분석256배라선CT혈관조영검사여경도관행관상동맥조영대관상동맥협착적진단개치.방법 채용256배라선CT혈관조영급경도관행관상동맥조영대106례환자적관상동맥영상표현진행평개.결과 통과여삽관법조영대조현시,MDCT도상능구현시관상동맥절단중도(≥50％)화고도협착(≥75％)총적민감도위80.0％、특이도위98.1％、준학성위95.5％;MDCT도상능구현시관상동맥절단중도(≥50％)화고도협착(≥75％)총적양성예측치위87.8％、음성예측치위96.7％.결론 256배라선CTA가작위관상동맥협착환자적수선검사방안,여경도관행관상동맥조영유량호적일치성.
Objective To analyze the value of 256-slice spiral CTA versus transcatheter coronary angiography (CAG) in the diagnose coronary artery stenosis.Methods The imaging data of 106 patients undergoing 256-slice spiral CTA and CAG were analyzed and evaluated.Results The overall sensitivity,specificity and accuracy of moderate coronary segments (≥ 50％) and high-grade stenosis (≥ 75％)displayed by MDCT images were 80.0％, 98.1％, and 95.5％, repectively.The overall positive and negative predictive values of moderate coronary segments (≥ 50％) and high-grade stenosis (≥ 75％) displayed by MDCT images were 87.8％ and 96.7％.Conclusions 256-slice spiral CTA could be the first choice and has similar value with transcatheter CAG in the diagnosis of coronary artery stenosis.
