摘要
目的探讨多层螺旋CT冠状动脉成像对冠心病的诊断价值。方法选取绵阳市第三人民医院2017年6月-2018年3月收治的冠心病患者54例,患者均经冠状动脉造影检查确诊为冠心病,54例均进行了冠状动脉成像检查,收集患者影像学资料,以冠状动脉造影检查结果为对照,计算多层螺旋CT冠状动脉成像诊断冠心病患者不同冠状动脉的灵敏度及特异度。结果对照冠状动脉造影检查结果,54例冠心病患者中,共有63支冠状动脉发生狭窄,其中左主干狭窄21支,左前降支狭窄16支,左回旋支狭窄18支,右冠状动脉狭窄8支。多层螺旋CT冠状动脉成像对冠状动脉狭窄总检出率为95.23%(60/63),其中诊断左主干狭窄检出率为100%。结论多层螺旋CT冠状动脉成像诊断冠心病灵敏度及特异度高,可清楚显示血管狭窄情况,值得临床推广。
Objective To explore the diagnostic value of multi-slice spiral CT coronary angiography(MSCT)in coronary heart disease. Methods Fifty-four patients diagnosed with coronary heart disease by coronary angiography and treated in the Third People’s Hospital of Mianyang between June 2017 and March 2018 were selected. These patients underwent coronary artery imaging examination and the imaging data was collected. The results of coronary angiography were used as a control to calculate the sensitivity and specificity of multi-slice spiral CT coronary angiography in the diagnosis of different coronary arteries of patients with coronary heart disease. Results According to the results of coronary angiography, there were 63 cases of coronary artery stenosis in 54 patients with coronary heart disease, including 21 cases of stenosis in the left main artery, 16 in the left anterior descending branch, 18 in the left circumflex branch and 8 in the right coronary artery. The total detection rate of MSCT for coronary artery stenosis was 95.23%(60/63), among which the detection rate ofleft main artery stenosis was 100%. Conclusion Multi-slice spiral CT coronary angiography has high sensitivity and specificity in the diagnosis of coronary heart disease.
作者
龙拥军
卓丽华
冯若涵
阮启超
李凌霄
LONG Yongjun;ZHUO Lihua;FENG Ruohan;RUAN Qichao;LI Lingxiao(Department of Radiology,Mianyang Third People's Hospital of Sichuan Province(Sichuan Mental Health Center),Mianyang Sichuan 621000,China)
出处
《空军医学杂志》
2020年第2期150-152,共3页
Medical Journal of Air Force
基金
四川省卫生和计划生育委员会科研课题(17PJ042)。
关键词
多层螺旋CT
冠状动脉成像
冠心病
诊断价值
multi-slice CT
coronary angiography
coronary heart disease
diagnostic value
