64排螺旋CTA与DSA在冠状动脉造影中的诊断价值比较  

Comparison of diagnostic value of 64-row MSCTA and DSA of coronary angiography

作　　者：任朝英[1] 

机构地区：[1]河北省人民医院肿瘤三科,郑州050051

出　　处：《检验医学与临床》2014年第24期3426-3427,共2页Laboratory Medicine and Clinic

摘　　要：目的比较64排螺旋CT血管成像(MSCTA)与数字减影血管造影(DSA)在冠状动脉造影中的诊断价值。方法选取河北省人民医院2011年6月至2014年1月经临床表现拟诊的54例行MSCTA与DSA检查的冠心病患者为研究对象,回顾性分析其临床资料,结合相关文献,比较MSCTA与DSA在冠状动脉造影中的诊断价值。结果 54例患者共获得652支可评价血管。MSCTA检查与DSA法检出冠状动脉狭窄血管支数比较,差异无统计学意义(χ2=0.727,P>0.05)。两种检查方法检出冠状动脉内斑块性质比较,差异无统计学意义(χ2=0.583,P>0.05)。结论 MSCTA检查空间分辨率高,MSCT检查对冠状动脉粥样硬化狭窄及斑块性质的判断上具有较大的实际意义,适合临床普及应用。Objective To compare the diagnostic performance of 64‐row multislice computer tomography angi‐ography （MSCTA） and digital subtraction angiography （DSA） of coronary angiography .Methods A total of 54 pa‐tients ,receiving MSCTA and DSA examination and diagnosed with coronary heart disease in this hospital from Jun . 2011 to Jan .2014 ,were enrolled ,and the clinical data were retrospectively analyzed to compare the diagnostic per‐formance of MSCTA and DSA of coronary angiography .Results Among all of the 54 patients ,652 coronary vessels were evaluated .There were 425 coronary vessels were with the same examined outcomes of MSCTA and DSA ,and the numbers of vessels with arteriarctia were without statistical difference between the two methods ,but without statistical difference （χ2 =0 .727 ,P〉0 .05） .The number of calcified plaque in coronary artery ,identified by MSC‐TA were higher than DSA ,but without statistical difference （χ2 =0 .583 ,P〉0 .05） .Conclusion MSCTA of coro‐nary angiography might be more suitable for clinical universal application to identify the arteriarctia and plaque in cor‐onary ,compared with DSA .

关 键 词：体层摄影术  计算机 冠心病 冠状动脉造影 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]