多层螺旋CT冠脉造影在心脏血管狭窄中的诊断效果  

Diagnostic Effect of Multislice Spiral CT Coronary Angiography in Cardiac Vascular Stenosis

作　　者：金爱芳[1] 李林林 曾庆云 JIN Ai-fang;LI Lin-lin;ZENG Qing-yun(Department of Nuclear Medicine,Jiangxi Provincial People’s Hospital(The First Affiliated Hospital of Nanchang Medical College),Jiangxi Nanchang 330006;Department of Imaging,Jiangxi Provincial People’s Hospital(The First Affiliated Hospital of Nanchang Medical College),Jiangxi Nanchang 330006)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院)核医学科,江西南昌330006 [2]江西省人民医院(南昌医学院第一附属医院)影像科,江西南昌330006

出　　处：《中国医疗器械信息》2023年第16期130-132,共3页China Medical Device Information

摘　　要：目的:探讨多层螺旋CT冠脉造影在心脏血管狭窄中的诊断效果。方法:随机抽取本院2020年4月~2022年4月的80例心脏血管狭窄患者,均对其实施多层螺旋CT冠脉造影(CTA)及DSA检查,并以DSA检查为金标准,对比两组检查结果。结果:检查后,CTA检查检出率、漏诊率分别为98.75%、1.25%;双侧狭窄率、右侧狭窄率、左侧狭窄率分别为38.75%、30.00%、31.25%;轻微狭窄率、轻度狭窄率、中度狭窄率、重度狭窄率分别为:5.00%、31.25%、35.00%、27.50%,DSA检查检出率、漏诊率分别为100.00%、0,双侧狭窄率、右侧狭窄率、左侧狭窄率分别为38.75%、30.00%、30.00%,轻微狭窄率、轻度狭窄率、中度狭窄率、重度狭窄率分别为:6.25%、31.25%、35.00%、27.50%,经对比,两组检查结果均无明显差异,P>0.05。结论:多层螺旋CT冠脉造影在心脏血管狭窄诊断中应用效果显著。Objective:To investigate the diagnostic effect of multislice spiral CT coronary angiography in cardiac vascular stenosis.Methods:80 patients with cardiac vascular stenosis in our hospital(from April 2020 to April 2022)were randomly selected,all of whom received multislice spiral CT coronary angiography(CTA)and DSA examination,and DSA examination was used as the gold standard,and the results of the two groups were compared.Results:After examination,CTA detection rate and missed diagnosis rate were 98.75%and 1.25%,respectively.The rates of bilateral stenosis,right stenosis and left stenosis were 38.75%,30.00%and 31.25%,respectively.The rates of mild stenosis,mild stenosis,moderate stenosis and severe stenosis were as follows:5.00%,31.25%,35.00%,27.50%,DSA detection rate,missed diagnosis rate were 100.00%,0,bilateral stenosis rate,right stenosis rate,left stenosis rate were 38.75%,30.00%,30.00%,the rates of slight stenosis,mild stenosis,moderate stenosis and severe stenosis were 6.25%,31.25%,35.00%and 27.50%,respectively.There was no significant difference between the two groups(P>0.05).Conclusion:MSCT coronary angiography can be widely used in the diagnosis of cardiac stenosis.

关 键 词：多层螺旋CT 冠脉造影 心脏血管狭窄 诊断 

分 类 号：R445.2[医药卫生—影像医学与核医学]