摘要
目的探讨双源CT在急性胸痛患者冠状动脉狭窄中的诊断效果。方法选择2018年1月至2018年12月收治的65例急性胸痛患者为研究对象,患者均接受双源CT与冠状动脉血管造影检查,将冠状动脉血管造影结果作为"金标准",分析双源CT在急性胸痛患者冠状动脉狭窄中的诊断价值。结果 65例患者共检查393个节段,双源CT检查中370个节段数符合冠状动脉血管造影检查结果,符合率为94.15%(370/393);双源CT检查的灵敏度为100.00%(62/62),特异度为66.67%(2/3),阳性预测值为98.41%(62/63),阴性预测值为0.00%(0/2),准确度为98.46%(64/65)。结论双源CT在急性胸痛患者冠状动脉狭窄中的诊断效果显著,值得临床推广应用。
Objective To investigate the effect of dual source CT in the diagnosis of coronary artery stenosis in patients with acute chest pain. Methods Sixty-five patients with acute chest pain admitted from January 2018 to December 2018 were selected as the study objects. All patients were examined by dual source CT and coronary angiography, and the coronary angiographic results were regarded as the "gold standard". The diagnostic value of dual source CT in coronary artery stenosis in patients with acute chest pain was analyzed. Results There were 393 segments were examined in 65 patients. A total of 370 segments in dual source CT were in accordance with the results of coronary angiography, and the coincidence rate was 94.15%(370/393). The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of dual source CT were 100.00%(62/62), 66.67%(2/3), 98.41%(62/63), 0.00%(0/2) and 98.46%(64/65)respectively. Conclusion Dual source CT in the diagnosis of coronary artery stenosis in patients with acute chest pain has significant diagnosis effect, which is worthy of clinical promotion and application.
作者
盛杰鑫
王西宾
王萌
黄光建
薛斌
郑超
赵雪
王波
SHENG Jie-xin;WANG Xi-bin;WANG Meng;HUANG Guang-jian;XUE Bin;ZHENG Chao;ZHAO Xue;WANG Bo(Medical Imaging Diagnosis Department,Hanzhong Central Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2019年第32期8-9,共2页
Clinical Research and Practice
基金
汉中市科学技术局项目(No.9612016Y0557)
关键词
双源
CT
急性胸痛
冠状动脉狭窄
dual source CT
acute chest pain
coronary artery stenosis
