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冠状动脉计算机体层血管成像对冠心病的诊断价值及结果分析

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目的:利用冠状动脉计算机体层血管成像(CTA)诊断冠心病,观察其诊断结果与价值.方法:2022年3月~2023年3月作为病例选取时间范围,以该区间内接收的104例疑似冠心病的患者作为主要研究对象,所有患者均接受冠状动脉造影(CAG)、CTA两种检查,针对冠状动脉计算机体层血管成像的病变分布情况、血管狭窄情况、诊断效能进行比较与分析.结果:以CAG诊断为参照,CTA确诊冠心病患者92例,检出率为88.46%.CTA诊断的特异度、灵敏度与准确度分别为96.77%、81.82%、95.19%,显示出较高诊断价值.以CAG检查结果作为金标准检出阳性冠状动脉分支198条,冠状动脉CTA检查显示出192 条阳性,总检出率为96.97%.以CAG检查结果作为金标准检出152处冠状动脉狭窄,CTA检查结果为143处狭窄,总检出率为94.08%.结论:将冠状动脉计算机体层血管成像作为冠心病的主要诊断方式,能够显示出多种优势,不仅可以显示出较高特异性、灵敏性与准确性,还可针对冠状动脉分支的病变分布情况以及狭窄情况进行清晰展现,为疾病的诊断、预防、治疗均提供可靠度较高的数据参照.
Diagnostic Value and Analysis of Coronary CTA in Coronary Heart Disease
Objective:To evaluate the value of coronary CTA in the diagnosis of coronary heart disease(CHD).Methods:From March 2022 to March 2023,as the time range for case selection,104 patients suspected of coronary heart disease were selected as the main research subjects.All patients underwent both CAG and CTA examinations,and the distribution of lesions,vascular stenosis,and diagnostic efficacy of coronary artery computed tomography were compared and analyzed.Results:According to CAG diagnosis,92 CHD patients were diagnosed by CTA,the positive rate was 88.46%.The specificity,sensitivity and accuracy of CTA were 96.77%,81.82%and 95.19%,respectively.As the gold standard,198 coronary branches were detected by CAG and 192 coronary brancheswere detected by CTA,the total detection rate was 96.97%.There were 152 stenoses detected by CAG as the gold standard,and 143 stenoses detected by CTA,with a total detection rate of 94.08%.Conclusion:Coronary CTA as the main diagnostic method of CHD can show many advantages,not only can show higher specificity,sensitivity and accuracy,but also can be used to diagnose CHD,it can also show clearly the distribution and stenosis of coronary artery branches,and provide reliable data reference for the diagnosis,prevention and treatment of the disease.

coronary CTAcoronary heart diseasediagnostic value

王江涛

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山东省荣成市人民医院心内科(山东 荣成 264300)

冠状动脉计算机体层血管成像 冠心病 诊断价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(5)
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