首页|64排128层LightspeedVCT对冠状动脉狭窄的诊断价值研究

64排128层LightspeedVCT对冠状动脉狭窄的诊断价值研究

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目的:研究64排128层LightspeedVCT对冠状动脉狭窄的诊断价值.方法:随机抽选本院2021年1月～2022年12月接诊疑似冠状动脉狭窄患者80例为研究对象,实施对比性临床研究,患者入院后均依次接受64排128层LightspeedVCT造影检查(CTA)及冠状动脉造影检查(DSA).以DSA诊断结果为金标准,比较64排128层LightspeedVCT造影检查对冠状动脉狭窄程度评估价值、诊断价值及钙化斑块类型筛查作用.结果:相较DSA诊断,CTA诊断中左冠脉主干、左前降、左回旋、右冠脉狭窄检出率差异无统计学意义,P>0.05;CTA诊断对冠状动脉狭窄诊断敏感度为93.95%、特异度为94.40%、阳性预测值为96.32%、阴性预测值为90.77%、诊断符合率为94.06%;轻度冠脉狭窄患者冠脉中非钙化斑块占比高于冠脉中度、重度狭窄及闭塞患者,且冠脉中度、重度狭窄及闭塞患者混合斑、钙化斑块占比均高于轻度冠脉狭窄患者,差异有统计学意义,P<0.05.结论:64排128层LightspeedVCT在冠状动脉狭窄临床诊断中的应用,可有效明确患者冠脉主干狭窄情况,并评估病变冠脉内斑块类型,为后续治疗方案的合理制定提供指导依据,诊断价值确切.
Diagnostic Value of 64-Row 128-Slice LightspeedVCT in Coronary Artery Stenosis
Objective:To investigate the diagnostic value of 64-row 128-slice LightspeedVCT in coronary artery stenosis.Methods:A total of 80 patients with suspected coronary artery stenosis admitted to our hospital from January 2021 to December 2022 were randomly selected as research objects to conduct a comparative clinical study.All patients received 64-row 128-slice LightspeedVCT angiography(CTA)and coronary angiography(DSA)successively after admission.Using DSA as the gold standard,we compared the 64-row and 128-slice LightspeedVCT in evaluating the degree of coronary artery stenosis,the diagnostic value and the screening effect of calcified plaque types.Results:Compared with DSA diagnosis,there was no statistical significance in the detection rates of left main coronary artery,left anterior descending,left circumferential and right coronary artery stenosis in the diagnosis of CTA(P>0.05);The sensitivity,specificity,positive predictive value,negative predictive value and diagnostic coincidence rate of CTA for coronary artery stenosis were 93.95%,94.40%,96.32%,90.77%and 94.06%respectively;The proportion of non-calcified plaque in patients with mild coronary artery stenosis was higher than that in patients with moderate and severe coronary artery stenosis and occlusion,and the proportion of mixed plaque and calcified plaque in patients with moderate and severe coronary artery stenosis and occlusion was higher than that in patients with mild coronary artery stenosis,with statistical significance(P<0.05).Conclusion:The application of 64-row 128-slice LightspeedVCT in the clinical diagnosis of coronary artery stenosis can effectively clarify the condition of main coronary artery stenosis in patients,and evaluate the plaque types in the diseased coronary arteries,providing guidance for the reasonable formulation of follow-up treatment,with accurate diagnostic value.

64-row 128-slice LightspeedVCTcoronary artery stenosiscoronary plaquediagnostic value

李伟明、陈小婷、王一凡

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中国人民解放军联勤保障部队第九〇〇医院仓山院区 (福建 福州 350007)

64排128层LightspeedVCT 冠状动脉狭窄 冠脉斑块 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(6)
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