风险评分在主动脉夹层早期诊断中的价值  

Significance of Aortic Dissection Detection Risk Score for Early Diagnosis of Aortic Dissection

作　　者：周新伟[1] 潘扬[2] 李俊涛[1] 袁平[2] 

机构地区：[1]贵州医科大学,贵州贵阳550004 [2]贵州省人民医院血管外科,贵州贵阳550001

出　　处：《贵阳医学院学报》2016年第2期228-230,237,共4页Journal of Guiyang Medical College

摘　　要：目的:探讨主动脉夹层风险评分在主动脉夹层(AD)早期诊断中的价值。方法:收集经计算机断层扫描血管造影(CTA)确诊AD的117例患者资料,根据美国心脏协会(AHA)和美国心脏病学会(ACC)发布的《胸主动脉疾病(TAD)的诊断和治疗指南》中提出的主动脉夹层风险评分(ADD风险评分)对所有患者进行ADD风险评分,并计算该评分早期筛检AD的敏感性。结果:在117例AD患者中评分为0分的患者19例(16.2%),评分为1分的患者69例(59.0%),2或3分的患者29例(24.8%),该风险评分早期筛检主动脉夹层的敏感性为83.8%。结论:ADD风险评分早期筛检AD的敏感性高,可以作为AD早期筛检工具。Objective： To assess the early diagnostic value of the aortic dissection detection （ADD） risk score in patient with aortic dissection （AD）. Methods： A total of 117 patients with AD who were diagnosed by CTA were included in the study. The ADD risk score was calculated according to the guidelines for diagnosis and management of thoracic aortic disease introduced by the American Heart Association （AHA） and American College of Cardiology （ACC）. The sensitivity of ADD risk score in diagnosis of AD was tested. Results： ADD risk score was 0 in 19 （16. 2%） patients , 1 in 69 （59. 0% ） patients and 2 or 3 in 29 （24.8%） patients. The sensitivity of ADD risk score in diagnosis of AD was 83.8%. Conclusions： The ADD risk score shows high sensitivity to detect AD and can serve as a early screening tool for AD.

关 键 词：主动脉夹层 风险评分 诊断 敏感性 

分 类 号：R604[医药卫生—外科学]