64排多层螺旋CT与冠脉造影在冠心病介入诊疗应用中的对比研究  

The contrast research between 64 MSCT and CAG in diagnose and therapy for CAD

作　　者：张家齐[1] 刘欣[1] 吕杰文[1] 赵卫东[1] 徐亚莎[1] 单晓清[1] 

机构地区：[1]中国医科大学第八临床学院鞍钢总医院,辽宁鞍山114002

出　　处：《中国冶金工业医学杂志》2007年第5期513-514,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的:评价64排多层螺旋CT在冠心病诊断中的临床应用价值。方法:选择2005年8月-2006年5月共21例经过冠脉造影病人的67支血管分为185个节段,以冠脉造影结果为金标准,将其CT影像与冠脉造影结果进行对比分析。结果:三维重建64排CT血管造影(CTA)诊断冠状动脉病变总的敏感性(Sn)95.5%,特异性(Sp)96.6%,准确度(Ac)96.2%,阳性预测值(+PV)94.1%,阴性预测值(-PV)97.4%。结论:64排多层螺旋CT做为无创的筛查冠心病的手段,其结果可靠,应予推广。Objective：To evaluate the clinical value of 64 MSCT in diagnose for CAD. Methods：To select 21 patients form Aug 2005 to May 2006, 67 vessels divided into 185 segment,and contrast analyze the results of 64 MSCT and CAG. Results.-As well as CAG is the golden standard, the sensitivity for CAD diagnose was 95.5%, specificity 96.6%, accuracy 96. 2%, positive predictive value 94. 1%, and negative predictive value 97.4%. Conclusion：As the non-intervention diagnoses method in CAD,the results of 64 MSCT was credible and should be popularized.

关 键 词：64排多层螺旋CT 冠脉造影 冠G病 

分 类 号：R541.4[医药卫生—心血管疾病]