心绞痛诊断中应用冠脉CTA的临床价值探讨  

Clinical Value of the Application of Coronary CTA in Angina Diagnosis

作　　者：赵志云[1] ZHAO Zhi-yun(Department of Cardiology,Tianjin Baodi District People’s Hospital,Tianjin 301800)

机构地区：[1]天津市宝坻区人民医院心血管内科,天津301800

出　　处：《中国医疗器械信息》2020年第11期46-47,共2页China Medical Device Information

摘　　要：目的:探讨心绞痛的患者实施CT冠状动脉造影(冠脉CTA)诊断的临床价值。方法:纳入2018年1月~2020年1月在本院接受疑似心绞痛治疗的患者,共300例,患者分别实施冠脉CTA和冠状动脉造影(CAG)进行诊断,比较两种检查的诊断结果。结果:冠脉CTA检查的检出率与CAG检查的检出率数据相近,差异无统计学意义(χ^2=1.3072,P=0.2529);冠脉CTA检查:共有85例患者出现血管狭窄,其中有38例患者出现重度狭窄,有30例患者出现中度狭窄,有17例患者出现轻度狭窄。CAG检查:共有89例患者出现血管狭窄,其中有40例患者出现重度狭窄,有31例患者出现中度狭窄,有18例患者出现轻度狭窄,两组检查结果数据相近,差异统计学意义(χ^2=0.1295,P=0.7189)。结论:通过冠脉CTA检查心绞痛症状,可以有效确定患者的冠状动脉病变情况,提高临床检出率,减少患者因病痛而对生命安全造成威胁。Objective:Clinical value exploration of diagnosis of coronary CTA(coronary arterial CT examination)for patients with angina.Methods:Sample source:January 2018 to January 2020 in our hospital to receive suspected angina treatment patients,a total of 300 cases,patients respectively to implement coronary CTA and CAG(coronary artery imaging)for patients to diagnose,compare the diagnosis of the two types of examination.Results:The detection rate of coronary CTA examination is similar to that of coronary CAG examination,and the difference is not statistically significant(χ^2=1.3072,P=0.2529);There were 17 patients with mild stenosis.Coronary CAG examination:A total of 89 patients had vascular stenosis,of which 40 patients had severe stenosis,31 patients had moderate stenosis,18 patients had mild stenosis,two groups of examination results were similar,the difference was statistically significant(χ^2=0.1295,P=0.7189).Conclusion:By examining the symptoms of angina by coronary CTA,it is worth promoting the patient’s coronary artery lesions,improve the clinical detection rate and reduce the threat to life safety caused by the patient due to the disease.

关 键 词：心绞痛 诊断 冠脉CTA 临床价值 

分 类 号：TH774[机械工程—仪器科学与技术]