摘要
目的对64层螺旋CT冠状动脉成像与常规冠状动脉造影诊断冠状动脉疾病的临床疗效进行比较。方法选择2011年3月—2014年3月期间该院收治的550例冠状动脉疾病或怀疑为冠心病的患者,均给予64层螺旋CT冠状动脉成像与常规冠状动脉造影进行诊断,对两种方案的诊断结果进行比较。结果 164层螺旋CT冠状动脉成像与常规冠状动脉造影,对诊断的病变阳性率相比较,差异无统计学意义(P>0.05)。264层螺旋CT冠状动脉成像诊断的灵敏度、特异性、阳性预测值及阴性预测值均明显高于常规冠状动脉造影,差异有统计学意义(P<0.05)。结论 64层螺旋CT冠状动脉成像在诊断冠状动脉疾病中,具有高灵敏度,高特异性等特点,值得临床推广应用。
Objective To compare the efficacy of 64-slice spiral CT coronary angiography and conventional coronary angiography in the diagnosis of coronary artery disease （CHD）. Methods 550 patients with coronary artery disease or suspected with CHD ad-mitted in our hospital from March 2011 to March 2014 were selected. The patients underwent both 64-slice spiral CT coronary an-giography and coronary angiography for diagnosis. And the diagnostic results of these two methods were compared. Results （1） There was no significant difference between 64-slice spiral CT coronary angiography and conventional coronary angiography in the diagnosis of positive rate of pathological changes （P〉0.05）. （2） The sensitivity, specificity, positive predictive value and negative predictive value analyzed by 64-slice spiral CT coronary angiography in the diagnosis of coronary artery disease were significantly higher than those analyzed by conventional coronary angiography, the difference was statistically significant （P〈0.05）. Conclusion 64-slice spiral CT coronary angiography in the diagnosis of coronary artery disease has higher sensitivity and specificity. It is worth applying in clinic widely.
出处
《中外医疗》
2014年第33期19-20,共2页
China & Foreign Medical Treatment
关键词
64层螺旋CT冠状动脉成像
常规冠状动脉造影
诊断
冠状动脉疾病
临床疗效
64-slice spiral CT coronary angiography
Conventional coronary angiography
Diagnosis
Coronary artery disease
Clinical efficacy
