首页|能谱CT冠状动脉血管成像对糖尿病患者合并冠状动脉病变的诊断价值研究

能谱CT冠状动脉血管成像对糖尿病患者合并冠状动脉病变的诊断价值研究

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 能谱CT冠状动脉血管成像(CCTA)对糖尿病患者合并冠状动脉病变的预测价值.方法 选取2020 年 8 月至 2022 年 8 月福建医科大学附属福州市第一医院收治的 88 例疑似 2 型糖尿病(T2DM)合并冠状动脉病变患者,共随机选取 352 个冠脉节段,均接受能谱CCTA检查,以冠状动脉造影(CAG)为金标准,分析能谱CCTA对T2DM患者冠状动脉病变、冠脉狭窄程度及冠脉斑块类型的诊断效能.结果 88 例T2DM患者能谱CCTA诊断有 56 例合并冠状动脉病变,352 个冠脉节段中,无狭窄 134 例,轻度狭窄 115 例,中度狭窄68 例,重度狭窄 10 例,无斑块 135 例,钙化斑块 26 例,非钙化斑块 103 例,混合斑块 67 例.能谱CCTA诊断T2DM患者冠状动脉病变的准确度为 88.64%,Kappa值为 0.733;诊断冠脉轻度狭窄、中度狭窄、重度狭窄的准确度分别为 95.74%、95.82%、97.73%,Kappa值分为 0.900、0.857、0.702;诊断冠脉钙化斑块、非钙化斑块、混合斑块的准确度分别为 96.01%、97.43%、98.24%,Kappa值分为 0.754、0.964、0.969.结论 能谱CCTA诊断T2DM患者冠状动脉病变、冠脉狭窄程度及冠脉斑块类型均具有较好的诊断效能,能为临床T2DM合并冠状动脉病变早期诊断、治疗工作提供一定参考,值得推广.
Study on the diagnostic value of spectral coronary computed tomography angiography in diabetes patients with coronary artery disease
Objective To explore the diagnostic value of spectral coronary computed tomography angiography(CCTA)in diabetes patients with coronary artery disease.Methods A total of 88 patients with suspected type 2 diabetes mellitus(T2DM)complicated with coronary artery disease admitted to The First Hospital of Fuzhou affiliated to Fujian Medical University from August 2020 to August 2022 were selected.A total of 352 coronary segments were randomly selected and examined by spectral CCTA.Coronary angiography(CAG)was used as the gold standard to analyze the diagnostic efficacy of spectral CCTA on the severity of coronary artery disease,degree of coronary stenosis,and type of coronary plaques for T2DM patients.Results Among the 88 T2DM patients diagnosed by spectral CCTA,56 cases were complicated with coronary artery disease.Among 352 coronary segments,134 had no stenosis,115 had mild stenosis,68 had moderate stenosis,10 had severe stenosis,135 had no plaque,26 had calcified plaques,103 had noncalcified plaques,and 67 had mixed plaques.The accuracy of spectral CCTA in diagnosing coronary artery disease in T2DM patients was 88.64%,and the Kappa value was 0.733.The accuracies for diagnosing mild,moderate,and severe coronary stenosis were 95.74%,95.82%,and 97.73%,respectively.The corresponding Kappa values were 0.900,0.857,and 0.702.The accuracies for diagnosing coronary calcified plaques,noncalcified plaques,and mixed plaques were 96.01%,97.43%,and 98.24%,respectively.The corresponding Kappa values were 0.754,0.964,and 0.969.Conclusion Spectral CCTA has good diagnostic efficacy in diagnosing the severity of coronary artery disease,degree of coronary stenosis,and type of coronary plaques in T2DM patients.It can provide some reference for early diagnosis and treatment of T2DM combined with coronary artery disease in clinical practice and is worth promoting.

Spectral coronary computed tomography angiographyDiabetes mellitusCoronary artery diseaseCoronary angiographyDiagnostic value

叶万春、张永婕、阮彩霞

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福建医科大学附属福州市第一医院放射科,福建福州 350009

能谱CT冠状动脉血管成像 糖尿病 冠状动脉病变 冠状动脉造影 诊断价值

2024

10.20116/j.issn2095-0616.2024.07.34

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新（北京）医药科学研究院

中国医药科学

影响因子：1.083
ISSN：2095-0616
年,卷(期)：2024.14(7)
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