64排螺旋CT在冠心病中的诊断价值

山东大学学报(医学版)

64排螺旋CT在冠心病中的诊断价值

刘平平¹，乔卫卫¹，刘同宝²

（1. 烟台市烟台山医院心血管内科，山东烟台 264000；2. 山东大学附属省立医院心血管内科，济南 250021）

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-01-16 发布日期:2009-01-16
通讯作者: 刘同宝

64slice spiral computed tomography angiography in diagnosis of coronary heart disease

LIU Pingping¹, QIAO Weiwei¹, LIU Tongbao²

(1. Department of Cadiovascular, Yantaishan Hospital, Yantai 264000, Shandong, China;2. Department of Cadiovascular, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China)

Received:1900-01-01 Revised:1900-01-01 Online:2009-01-16 Published:2009-01-16
Contact: LIU Tongbao

摘要/Abstract

摘要： 目的以冠状动脉造影(CAG)为金标准,评价64排螺旋CT冠状动脉成像(CTA)在显示冠状动脉病变时的临床价值。方法搜集70例患者的CTA完整资料，并与两周内实施的CAG结果进行对比，对CTA显示的冠状动脉病变情况进行评估。结果在CTA显示的所有病例中，共计259支冠状动脉可用于评估，107支存在病变，101支得到CAG证实；6支由CTA显示狭窄而CAG确定为正常，另外有8例CAG确诊存在的病变，而在CTA上未能显示。CTA诊断冠状动脉病变的敏感性为92.7%，特异性为96.5%，阳性预测值为94.4%，阴性预测值为95.4%。结论CTA在显示冠状动脉病变时，具有较高的敏感性和特异性，对于病变程度的评估也比较准确，适用于临床怀疑冠心病的患者进行CAG前的筛选检查。

关键词: 冠状动脉疾病, 体层摄影术,X线计算机, 冠状血管造影术

Abstract: To evaluate the clinical values of 64slice computed tomography angiography for coronary heart diseases based on conventional coronary artery angiography serving as the gold standard. MethodsThe results of 64slice CTA were compared with the results of CAG implemented in a recent twoweek period, and the different degrees of the coronary stenosis and pathological changes of different branches of coronary artery shown by 64slice CTA were assessed. ResultsIn 70 patients， 259 coronary arteries were evaluated with 107 lesions found by 64slice CTA. Among the lesions, 101 were diagnosed with CAG; 6 lesions were falsely positive and 8 other lesions were confirmed by CAG, which were not picked up by 64slice CTA. The sensitivity， specificity， positive predictive values and negative predictive values were 92.7%，96.5%，94.4% and 95.4% respectively for detection of the diseases. Conclusion64slice CTA has good sensitivity and specificity in detecting CAD，and it can also give a fairly accurate assessment for stenosis severity in most patients compared with CAG. Therefore，it is a useful noninvasive method for detecting coronary artery diseases.

Key words: Coronary disease, Tomography,XRay computed, Coronary angiography

中图分类号:

R541.4

刘平平1 ，乔卫卫1 ，刘同宝2
. 64排螺旋CT在冠心病中的诊断价值[J]. 山东大学学报(医学版), 2009, 47(01): 88-91.

LIU Pingping¹, QIAO Weiwei¹, LIU Tongbao²
. 64slice spiral computed tomography angiography in diagnosis of coronary heart disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 88-91.

参考文献

相关文章 5

[1]	. 山东汉族人群15脂氧合酶1基因多态性与冠心病易感性的相关性研究[J]. 山东大学学报(医学版), 2009, 47(10): 102-105.
[2]	刘春晓，李德才，王安彪，张海洲，郭兰敏 . 非体外循环下左乳内动脉序贯吻合的流量测定与临床应用[J]. 山东大学学报(医学版), 2009, 47(03): 74-76.
[3]	谢毅1 ，郭媛1 ，陈刚2 ，李继福1 ，朱海宁2 ，魏然2 ，王博2 ，栾萌2 . 山东地区冠状动脉粥样硬化性心脏病患者 3号染色体基因扫描研究[J]. 山东大学学报(医学版), 2009, 47(01): 56-60.
[4]	甘洁,刘平,王营,祝军,步春青,李大华,魏巍巍,李斌 . 利用MSCT评价冠状动脉粥样硬化斑块与急性冠脉综合征的相关性[J]. 山东大学学报(医学版), 2008, 46(1): 91-93.
[5]	王锡明,程召平,武乐斌,乌大尉,晁宝婷,柳澄 . 64层螺旋CT与选择性冠状动脉造影对照性研究及其临床应用[J]. 山东大学学报(医学版), 2007, 45(10): 1042-1045.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed