摘要
目的：探讨双源CT血管造影（DSCTA）在冠状动脉粥样硬化诊疗中的价值。方法：选择95例行DSCTA检查的临床高度疑似冠心病患者,以冠状动脉造影（CAG）为＂金标准＂,分析DSCTA评估冠状动脉狭窄准确性及冠状动脉分支显示与CAG检查结果的一致性。结果：1冠状动脉CAG检查结果显示,冠状动脉轻度狭窄149支,中度狭窄81支,重度狭窄55支,DSCTA分别准确评估140支、79支和54支,准确率为95.79%,一致性检验具有统计学意义（Kappa=0.679,P〈0.05）;2冠状动脉CAG检查冠状动脉分支显示〈3支、3-5支及〉5支的分别为8例、68例及19例,DSCTA分别准确检出8例、65例及15例,准确率为92.63%,一致性检验具有统计学意义（Kappa=0.608,P〈0.05）。结论：DSCTA在评估冠状动脉粥样硬化狭窄程度及显示冠状动脉分支血管方面效果良好,具有临床诊断意义。
Objective： To investigate the therapeutic value of dual source CT coronary CTA （DSCTA） in coronary atherosclerosis. Methods： Ninety five cases with clinical highly suspected coronary artery disease in DSCTA were selected from January 2013 to December 2014, coronary angiography （CAG） as the＂gold standard＂, analysis of DSCTA assessment of coronary artery stenosis and coronary artery display accuracy and consistency of CAG findings. Results： ①CAG inspection coronary artery stenosis with mild, moderate stenosis, severe stenosis were 149, 81, 55, DSCTA accurate assessment of were respectively 140, 79, 54, accuracy rate of 95.79 %, consistency test was statistically significant （Kappa=0.679, P〈0.05）; ②CAG examination coronary artery branch show： 〈3, 3-5 branch,〉5 were 8 cases, 68 cases, 19 cases, DSCTA were accurately detected in 8 cases, 65 cases, 15 cases, accuracy rate of 92.63%, consistency test was statistically significant（Kappa=0.608, P〈0.05）. Conclusion：DSCTA in assessing the degree of stenosis of coronary atherosclerosis and coronary branch vessels show areas with good results, worthy of recognition in clinical.
出处
《中国医学装备》
2015年第5期81-84,共4页
China Medical Equipment
