冠状动脉CTA联合动态心电图对冠状动脉粥样硬化性心脏病的诊断价值  

To analyze the diagnostic value of holter combined with coronary CT angiography for coronary atherosclerotic heart disease

作　　者：黄艺生 罗助荣[2] 林建生 陈浩[2] Huang Yisheng;Luo Zhurong;Lin Jiansheng;Chen Hao(Medical Image Center, The PLA'900th hospital, Fuzhou 350000, China;Department of Cardiology, The PLA'900th Hospital, Fuzhou 350000, China;Department of Radiology, Anxi County Hospital of Fujian Province, Quanzhou 362400, Fujian, China)

机构地区：[1]中国人民解放军联勤保障部队第900医院医学影像中心,福州350000 [2]中国人民解放军联勤保障部队第900医院心血管内科,福州350000 [3]福建省泉州市安溪县医院放射科,福建泉州362400

出　　处：《血管与腔内血管外科杂志》2018年第5期423-427,共5页Journal of Vascular and Endovascular Surgery

摘　　要：目的对比分析冠状动脉CT血管成像(CTA)联合动态心电图诊断冠状动脉粥样硬化性心脏病(CHD)的准确率。方法选取2016年1月至2018年1月本院收治的260例疑似CHD的胸痛患者为研究对象,随机分配130例行冠状动脉CTA组(A组)检查,130例12导联动态心电图+冠状动脉CTA组(B组),分别对2组行冠脉造影检查。对比2组患者出现动脉狭窄的发生率、狭窄程度情况。结果 A组CHD诊断率为75.38%,B组诊断率为86.15%,2组比较差异有统计学意义(P<0.05)。B组诊断CHD的特异性为66.67%,准确率为92.31%,敏感性为94.91%。B组诊断冠脉Ⅲ级狭窄的概率明显高于A组,差异有统计学意义(P<0.05)。结论冠脉CTA联合动态心电图检查诊断CHD的效率明显高于单纯冠脉CTA检查,且诊断重度狭窄的准确率高于单纯冠脉CTA。Objective To compared and analyzed the diagnostic accuracy of CTA combined with HOLTER. Methods Choose the people’s liberation army of Fuzhou general hospital between January 2016 and January 2018 in chest painof 260 patients as the research object, 130 patients were randomly assigned to receive CTA(group A). 130 patients were randomly assigned to receive CTA and HOLTER(group B). Coronary angiography was performed in both groups. We compared with each two groups in the incidence and degree of arterial stenosis. Results The diagnosis rate of coronary heart disease was 75.38% in group A and 86.15% in group B. The difference between the two groups was statistically significant(P<0.05). The specificity of group B for diagnosis of coronary heart disease was 66.67%, the accuracy rate was 92.31%, and the sensitivity was 94.91%. The probability of diagnosis of grade III stenosis in group B was significantly higher than that in group A, and the difference was statistically significant(P<0.05). Conclusion The efficiency of coronary CTA combined with dynamic electrocardiography in the diagnosis of coronary heart disease was significantly higher than that of simple coronary CTA, and the accuracy of diagnosis of severe stenosis was higher than that of simple coronary CTA.

关 键 词：冠状动脉粥样硬化性心脏病 冠状动脉CTA 动态心电图 

分 类 号：R541.4[医药卫生—心血管疾病]