多层螺旋CT冠脉成像在糖尿病患者冠脉狭窄程度及部位诊断中的效能分析  

Analysis on Efficacy of Multi-Slice Spiral CT Coronary Angiography in the Diagnosis of Coronary Stenosis Degree and Location in Patients with Diabetes Mellitus

作　　者：王东 侯丽娜 王路佳 WANG Dong;HOU Li-na;WANG Lu-jia(CT/MRI Room,Lushi County People's Hospital,Sanmenxia 472243,China)

机构地区：[1]卢氏县人民医院CT/MRI室,三门峡472243

出　　处：《四川解剖学杂志》2022年第3期25-27,36,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨多层螺旋CT(MSCT)冠脉成像在糖尿病患者冠脉狭窄程度及部位诊断中的效能.方法:采用前瞻性随机试验方法,选取本院2018年3月至2019年6月收治的87例糖尿病患者作为研究对象,所有患者均接受MSCT冠脉成像及冠脉造影(CAG)检查,以CAG检查结果为金标准,分析MSCT冠脉成像在诊断冠脉狭窄程度及部位与CAG检查结果的一致性.结果:经CAG检查发现,87例糖尿病患者中55例冠脉正常,10例冠脉轻度狭窄,13例冠脉中度狭窄,9例冠脉重度狭窄;冠脉狭窄部位:右冠状动脉(RCA)12例,左前降支(LAD)10例,对角支(DA)3例,左旋支(LCX)7例.MSCT冠脉成像检查糖尿病患者冠脉狭窄与CAG检查结果具有极好的一致性(Kappa=0.785).MSCT冠脉成像检测糖尿病患者冠脉狭窄程度与CAG检查结果具有极好的一致性(Kappa=0.792);MSCT冠脉成像检测糖尿病患者冠脉狭窄部位与CAG检查结果具有极好一致性(Kappa=0.822).结论:MSCT冠脉成像可有效检测糖尿病患者冠脉狭窄程度及部位,且其安全、无创,可为临床治疗提供有效指导.Objective:To evaluate the efficacy of multi-slice spiral CT(MSCT)coronary angiography in the diagnosis of coronary artery stenosis in patients with diabetes mellitus.Methods:By a prospective randomized trial method,87 patients with diabetes mellitus admited to our hospital from March 2018 to June 2019 were selected as the study subjects.All patients underwent MSCT coronary angiography and coronary arteriography(CAG).Taking the CAG results as the gold standard,the consistency of the degree and location of coronary artery stenosis diagnosed by MSCT coronary imaging with the CAG results was analyzed.Results:By CAG examination,in 87 patients with diabetes mellitus,there were 55 cases with normal coronary artery,10 cases with mild coronary artery stenosis,13 cases with moderate coronary artery stenosis and 9 cases with severe coronary artery stenosis;the is location of coronary artery stenosis:12 cases of right coronary artery(RCA),10 cases of left anterior descending branch(LAD),3 cases of diagonal branch(DA)and 7 cases of left circumflex branch(LCX).The results of coronary artery stenosis in patients with diabetes mellitus detected by MSCT coronary angiography and CAG had excellent consistency(Kappa=O.785).The degree of coronary artery stenosis examined by MSCT coronary angiography was in excellent agreement with the results of CAG(Kappa=0.792);The location of coronary artery stenosis examined by MSCT coronary angiography was in excellent agreement with the results of CAG(Kappa=0.822).Conclusion:MSCT coronary angiography can effectively detect the degree and location of coronary artery stenosis in patients with diabetes mellitus,which is safe and noninvasive,and can provide effective guidance for clinical treatment.

关 键 词：糖尿病 多层螺旋CT冠脉成像 冠脉狭窄程度 冠脉狭窄部位 诊断效能 

分 类 号：R587.1[医药卫生—内分泌] R541.4[医药卫生—内科学]