| 苏建伟,李振武,王秋斌,等.宽体探测器 CT在高心率病人冠状动脉 CT血管成像检查中的应用研究[J].安徽医药,2022,26(6):1210-1213. |
| 宽体探测器 CT在高心率病人冠状动脉 CT血管成像检查中的应用研究 |
| The study on the application of wide-detector CT in CCTA examination of the patients with high heart rate |
| |
| DOI：10.3969/j.issn.1009-6469.2022.06.036 |
| 中文关键词: 计算机体层摄影血管造影术 冠状动脉狭窄 心率 冠状动脉造影术 宽体探测器 |
| 英文关键词: Computed tomography angiography Coronary stenosis Heart rate Coronary angiography Wide-detector |
| 基金项目: |
|
| 摘要点击次数: 928 |
| 全文下载次数: 323 |
| 中文摘要: |
| 目的探讨宽体探测器 CT在高心率病人冠状动脉 CT血管成像( CCTA)检查中的应用价值。方法回顾性收集 2018年 9月至 2019年 10月北京市大兴区人民医院的 40例疑似冠心病的高心率病人，行宽体探测器 CCTA检查，以侵入性冠状动脉造影( ICA)为金标准，分别基于每个冠状动脉节段、每支冠状动脉、每位病人，分析 CCTA诊断冠状动脉狭窄的诊断效能。结 |
| 英文摘要: |
| Objective To investigate the application value of wide detector CT in the coronary computed tomography angiography(CCTA) examination in patients with high heart rate.Methods A total of 40 patients with high heart rate suspected of coronary heart disease who underwent CCTA examination using wide-detector CT were collected from September 2018 to October 2019 in People'sHospital of Beijing Daxing District, retrospectively. The results of invasive coronary angiography(ICA) examination were used as the reference standard. The diagnostic efficacy of CCTA in the diagnosis of coronary stenosis based on per-segment of coronary arteries, per-artery and per-patient was analyzed, respectively.Results In the 40 patients, a total of 454 coronary arterial segments met the evaluation criteria. There was no significant difference in the diagnosis of per-segment stenosis between CCTA and ICA (P>0.05), with a Kappa value of 0.87 (P<0.001).The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of CCTA in the diagnosis of per-segment (per-artery) stenosis was 90.00%,94.20%,84.31%,89.04% and 91.49%, respectively. The accuracy, sensitivity, specificity and positive predictive value of CCTA in the diagnosis of per-patient stenosis was 95.00%, 100%, 0 and 95.00%, respectively. The AUC of diagnosing per-segment and per-artery stenosis by CCTA was 0.93 (P<0.001) and 0.89 (P<0.001), respectively.Con? clusion Wide-detector CT has high diagnostic accuracy in the diagnosis of coronary stenosis in the patients with high heart rate, withhigh diagnostic efficacy. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
