64排128层螺旋CT冠状动脉成像与冠状动造影的对比研究  

Comparison of 64-row spiral computed tomography coronary angiorgraphy and selective coronary angioraphy

作　　者：葛斌[1] 刘鹏[1] 朱建忠[1] 

机构地区：[1]泰山医学院附属医院心内科,山东泰安271000

出　　处：《泰山医学院学报》2012年第2期126-128,共3页Journal of Taishan Medical College

摘　　要：目的比较64排128层螺旋CT冠状动脉成像(64-row spiral computed tomography,64SCTCA)和选择性冠状动脉造影(selective coronary angiogrpahy,CAG)对冠心病的诊断价值,方法 96例疑诊或确诊冠心病患者行64SCTCA,并在CT检查后2周内接受传统的冠状动脉造影(CAG),以CAG结果作为标准进行对比分析。结果 64SCTCA评价冠状动脉狭窄<50%、≥50%及≥75%的敏感比分别为90.8%、95%、92%、特异性为85.7%。结论 64排128层螺旋CT冠状动脉成像对冠状动脉狭窄病变有较高的诊断准确性,可以作为评价冠状动脉狭窄的一种无创检查方法。Objective： To compare the diagnosis value of 64 - row spiral CT coronary ang - ography and selective coro- nary angiography （CAG） on the coronary artery disease. Method： A total of 96 Patients suspected or confirmed coronary heart disease were examined by 64 - row spfial CT coronary angiography, and after two weeks, they were examined by CAG. Results： Compared wite CAG, the sensitivity and specificity of 64- SCTCA in diagnosing 〈 50%, 〉150% and 75% coronary stenosis were 100%, 95%, 92% and 85.7%, respectively. Conclusion： 64 - row sprial CT coronary an- giogvaphy is a safe and reliable inspection method in coronay artery disease.

关 键 词：螺旋CT冠状动脉成像 选择性冠状动脉造影 冠心病 

分 类 号：R816.2[医药卫生—放射医学]