中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
32期
76-77
,共2页
64排螺旋CT%冠状动脉造影%冠心病%冠状动脉狭窄
64排螺鏇CT%冠狀動脈造影%冠心病%冠狀動脈狹窄
64배라선CT%관상동맥조영%관심병%관상동맥협착
64 row spiral CT%Coronary angiography%Coronary heart disease%Coronary artery stenosis
目的:评价64排螺旋CT冠状动脉成像(64DSCTCA)诊断冠状动脉病变的价值.方法:回顾性分析冠心病患者80例,均行64DSCTCA与选择性冠状动脉造影(CAG)检查,以CAG为金标准,对两种检查结果进行对比分析.结果:64DSCTCA诊断冠脉狭窄≥50%的敏感度、特异度、准确度、阳性预测值、阴性预测值分别为:93.33%、94.70%、93.96%、95.37%、92.40%,与≥50%的阳性率比较,差异无统计学意义(P=0.618>0.05).结论:64DSCTCA诊断冠脉狭窄的效能较高,能判断冠脉斑块的性质,具有重要的临床应用价值.
目的:評價64排螺鏇CT冠狀動脈成像(64DSCTCA)診斷冠狀動脈病變的價值.方法:迴顧性分析冠心病患者80例,均行64DSCTCA與選擇性冠狀動脈造影(CAG)檢查,以CAG為金標準,對兩種檢查結果進行對比分析.結果:64DSCTCA診斷冠脈狹窄≥50%的敏感度、特異度、準確度、暘性預測值、陰性預測值分彆為:93.33%、94.70%、93.96%、95.37%、92.40%,與≥50%的暘性率比較,差異無統計學意義(P=0.618>0.05).結論:64DSCTCA診斷冠脈狹窄的效能較高,能判斷冠脈斑塊的性質,具有重要的臨床應用價值.
목적:평개64배라선CT관상동맥성상(64DSCTCA)진단관상동맥병변적개치.방법:회고성분석관심병환자80례,균행64DSCTCA여선택성관상동맥조영(CAG)검사,이CAG위금표준,대량충검사결과진행대비분석.결과:64DSCTCA진단관맥협착≥50%적민감도、특이도、준학도、양성예측치、음성예측치분별위:93.33%、94.70%、93.96%、95.37%、92.40%,여≥50%적양성솔비교,차이무통계학의의(P=0.618>0.05).결론:64DSCTCA진단관맥협착적효능교고,능판단관맥반괴적성질,구유중요적림상응용개치.
Objective:To evaluate the value of 64 row spiral CT coronary artery imaging (64DSCTA) in the diagnosis of coronary heart disease(CHD).Method:80 patients with CHD were retrospectivly analyzed, 64 DSCTCA and selective coronary angiography (CAG) were both performed, with the CAG as the gold standard,the test results of the two groups were compared and analyzed.Result:The sensitivity, specificity, accuracy, positive predictive value, negative predictive value of 64DSCTCA diagnosis of coronary artery stenosis≥50% were 93.33%,94.70%,93.96%,95.37%, 92.40%,compared with the ≥50% positive rate, there was no statistically significant difference(P=0.618>0.05).Conclusion:64DSCTCA diagnosis of CHD efficiency is higher, simple and noninvasive, can determine the nature of the plaque, can be used as screening of CHD diagnosis.