Evaluation value of 64 row spiral CT coronary imaging for coronary stenosis and plaque status in patients with coronary heart disease and angina pectoris
[Objective]To explore and analyze the value of 64 slice spiral CT coronary imaging in evaluating coronary stenosis and plaque status in patients with coronary heart disease and angina pectoris.[Methods]From October 2020 to October 2023,116 patients with coronary heart disease and angina pectoris were admitted.All patients underwent 64 slice spiral CT coronary imaging examination and were confirmed by coronary angiography.The value of 64 slice spiral CT coronary imaging was compared and analyzed.[Results]Coronary angiography detected 205 coronary stenosis lesions,and 64 slice spiral CT coronary imaging detected 198 lesions.The sensitivity,specificity,and accuracy of 64 slice spiral CT coronary angiography for detecting coronary stenosis were 95.61％,99.67％,and 98.65％,respectively.There was no significant difference compared with the results of coronary angiography (P>0.05).The rate of mild stenosis detected by coronary angiography was 20.00％,the rate of moderate stenosis was 37.56％,and the rate of severe stenosis was 42.44％;64 slice spiral CT coronary imaging detected 17.17％,34.85％,and 47.98％,respectively,with no significant difference compared with the results of coronary angiography (P>0.05).Sixty-four row spiral CT coronary imaging examination showed significant differences in the degree of stenosis and plaque status between patients with stable and unstable angina pectoris (P<0.05).[Conclusion]Sixty-four slice spiral CT coronary imaging is effective in diagnosing and evaluating coronary artery stenosis and plaque status in patients with coronary heart disease and angina pectoris.It can effectively detect coronary artery stenosis lesions,the degree of stenosis,and the nature of plaque,and is worth promoting.
64 slice spiral CT coronary imagingcoronary heart disease and angina pectoriscoronary stenosispatch status
万方数据
维普
