急性胸痛诊断中64排128层螺旋CT联合三联检查的应用效果评级  

Application Effect Rating of 64-Row 128-Slice Spiral CT Combined with Triple Examination in the Diagnosis of Acute Chest Pain

作　　者：闫映秀 YAN Ying-xiu(Imaging Diagnosis,Department of Medical Imaging,Fenyang College,Shanxi Medical University,Shanxi Lvliang 033000)

机构地区：[1]山西医科大学汾阳学院医学影像系影像诊断教研室,山西吕梁033000

出　　处：《中国医疗器械信息》2024年第11期81-83,173,共4页China Medical Device Information

摘　　要：目的:分析急性胸痛诊断中64排128层螺旋CT联合三联检查的应用效果评级。方法:选取2020年7月~2023年1月山西医科大学汾阳学院收治的70例急性胸痛患者为研究对象,均为其实施常规CT扫描(对照组)和64排128层螺旋CT联合三联检查(观察组)。对两组检测图像质量、扫描参数进行数据分析比对,以明确64排128层螺旋CT联合三联检查效果。结果:经诊断128层螺旋CT三联检查阳性、阴性分别为62例、8例。在此期间病症分型为急性冠脉综合征52例、肺动脉栓塞6例及主动脉夹层4例;经常规CT扫描得知阳性56例、阴性14例。同时在分型中急性冠脉综合征50例、肺动脉栓塞3例及主动脉夹层3例。观察组灵敏度、特异度、漏诊率、误诊率分别为96.66%、40.00%、9.37%、33.33%;对照组分别为92.59%、12.50%、21.87%、66.66%,数据对比无统计学意义,P>0.05;但观察组四项指标较对照组低。而观察组准确率(88.57%)显著高于对照组(74.28%),P<0.05。同时,观察组扫描参数三项指标高于对照组,P<0.05。结论:在急性胸痛的临床医治中,采取64排128层螺旋CT联合三联检查,在诊断效果中对比常规扫描准确度更高,且扫描参数较好。Objective:To rate the applied effect of a 64-row 128-slice spiral CT combined with a triple examination in the diagnosis of acute chest pain.Methods:70 patients with acute chest pain admitted to Fenyang College of Shanxi Medical University from July 2020 to January 2023 were selected as the study subjects,all of whom underwent conventional CT scan(control group)and 64 rows of 128-slice spiral CT combined triple examination(observation group).Therefore,the data analysis and comparison of the test image quality and scanning parameters of the two groups were conducted to clarify the effect of the 64-row 128-slice spiral CT combined with the triple examination.Results:128-slice spiral CT were positive and 8,respectively.During this period,according to the affected classification,52 acute coronary syndrome,6 pulmonary embolism and 4 aortic dissection;56 positive and 14 negative by routine CT scan.At the same time,50 cases of acute coronary syndrome,3 cases of pulmonary embolism and 3 cases of aortic dissection were classified.The sensitivity,specificity,missed rate,and misdiagnosis rate in the observation group were(96.66%)(40.00%)(9.37%)(33.33%);The control group was(92.59%)(12.50%)(21.87%)(66.66%);The data were not statistically significant,P>0.05;However,the four indicators in the observation group were lower than those of the control group.However,the accuracy of the observation group(88.57%)was significantly higher than that of the control group(74.28%),with P<0.05.Meanwhile,the three scanning parameters of the observation group were higher than those of the control group,P<0.05.Conclusion:In the clinical treatment of acute chest pain,64 rows of 128-slice spiral CT combined with triple examination is adopted.In the diagnostic effect,the accuracy of conventional scanning is higher,and the scanning parameters are better.

关 键 词：急性胸痛 计算机体层成像诊断 三联检查 

分 类 号：R445.2[医药卫生—影像医学与核医学]