320排动态容积CT对冠状动脉狭窄的诊断价值
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The Diagnostic Value of 320-Detector Row Dynamic Volume CT Angiography in Patients with Coronary Artery Stenosis
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    目的探讨320排动态容积CT冠状动脉成像对冠状动脉狭窄的诊断价值。方法2011年6月至2011年9月我院收治拟诊冠心病患者40例,先后行320排动态容积CT冠状动脉成像和冠状动脉造影检查。以冠状动脉造影为诊断冠心病金标准,评价320排动态容积CT冠状动脉成像诊断冠心病的临床应用价值。结果40例患者320排动态容积CT冠状动脉成像检测出≥50%狭窄91处,冠状动脉造影检测出67处。320排动态容积CT冠状动脉成像诊断冠心病(狭窄≥50%)的敏感度为93%(95%CI:84%~97%),特异度为95%(95%CI:93%~97%),阳性预测值为74%(95%CI:6%~82%),阴性预测值为99%(95%CI:98%~100%)。诊断试验的ROC曲线下面积为0.98(95%CI:0.97~0.99)。结论320排动态容积CT评价冠状动脉狭窄的可靠性较高,是一种较为理想的冠心病无创诊断方法。

    Abstract:

    AimTo evaluate the diagnostic value of 320-detector row dynamic volume CT angiography (CTA) on patients with coronary artery stenosis.MethodsA total of forty consecutive subjects with suspected coronary heart disease were enrolled in this study.CTA and invasive coronary angiography (ICA) were taken consecutively in order to evaluate the diagnostic value of CTA.The sensitivity, specificity, positive and negative predictive value were calculated with the ICA as the gold standard.ResultsNinety-one and 67 lesions with ≥50% luminal stenosis were detected by CTA and ICA respectively.The sensitivity, specificity, positive and negative predictive value of CTA were 93% (95%CI: 84%~97%), 95% (95%CI: 93%~97%), 74% (95%CI: 6%~82%), 99% (95%CI: 98%~100%) respectively, with the ICA as the gold standard.And the area under the curve (AUC) was 0.98 (0.97~0.99).Conclusions320-detector row dynamic volume CT angiography is reliable in diagnosis of suspected coronary heart disease, which provided a non-invasive method for the diagnosis.

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周璐,张兆琪,于薇,刘家祎,李宇,晏子旭,姜红.320排动态容积CT对冠状动脉狭窄的诊断价值[J].中国动脉硬化杂志,2013,21(5):445~448.

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  • 收稿日期:2013-01-10
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