Revolution CT血管成像DSCTA对冠状动脉瘘患者的临床诊断价值分析  

Analysis of the Clinical Diagnostic Value of Revolution CT Angiography DSCTA in Patients with Coronary Artery Fistula

作　　者：陶中宁 陈艳[1] 王思林[1] Tao Zhongning;Chen Yan;Wang Silin(Medical Imaging Department of Guangyuan Central Hospital,Guangyuan 628000,Sichuan Province,China;不详)

机构地区：[1]广元市中心医院医学影像科,四川省广元市628000

出　　处：《中国病案》2025年第3期100-103,共4页Chinese Medical Record

基　　金：广元市指导性科技计划项目(2018ZDYF033)。

摘　　要：目的研究分析Revolution CT血管成像DSCTA对冠状动脉瘘患者的临床诊断价值,为诊断方案的选择提供参考。方法选择自2023年1月1日—2023年11月1日在某院接受诊治的冠状动脉瘘患者114例作为观察对象。根据不同诊断方式进行分组,所有实施冠脉造影诊断患者为对照组,Revolution CT血管成像DSCTA诊断为观察组,有57人均做了这2项检查且间隔5天或以上,将所有患者均以微创小切口非体外循环冠状动脉瘘结扎手术的临床最终治疗结果作为金标准,对比2组诊断结果,分析对照组与观察组的病理诊断关系,采用χ^(2)比较2组2种检查的诊断价值。结果2组对冠脉的侧别及病变区域的诊断结果比较,差异无统计学意义。观察组的漏诊率为1.75%(1/57),较对照组的12.28%(7/57)更低,差异有统计学意义。对照组冠脉造影的真阳性41例,假阳性3例,假阴性7例,真阴性6例。观察组冠脉造影的真阳性46例,假阳性1例,假阴性5例,真阴性5例。观察组的灵敏度为90.20%,特异度为83.33%,准确度为89.47%,分别较对照组的85.42%、66.67%及82.46%更高,差异有统计学意义。结论Revolution CT血管成像DSCTA对冠状动脉瘘患者的临床诊断价值较高,漏诊率更低,值得在临床应用。Objectives This study aims to analyze the clinical diagnostic value of Revolution CT vascular imaging DSCTA in patients with coronary artery fistula in order to provide a reference for the selection of the diagnostic protocol.Methods A total of 114 patients with coronary artery fistula who were treated in a certain hospital from January 1,2023 to November 1,2023 were selected as the observation subjects.According to different diagnostic methods,all patients diagnosed by coronary angiography were grouped as the control group,and those diagnosed by Revolution CT angiography DSCTA were grouped as the observation group.57 people underwent these two tests with an interval of 5 days or more.The final clinical treatment results of minimally invasive small incision off-pump coronary artery fistula ligation surgery were used as the gold standard for all patients.The diagnostic results of the two groups were compared,the relationship between the pathological diagnosis of the control group and the observation group was analyzed,and the diagnostic values of the two examinations in the two groups were compared.Results There was no significant difference in the diagnostic results of coronary artery laterality and lesion area between the two groups.The missed diagnosis rate in the observation group was 1.75%(1/57),which was lower than that in the control group(12.28%(7/57)),and the difference was statistically significant.In the control group,there were 41 true positive results,3 false positive results,7 false negative results,and 6 true negative results in coronary angiography.In the observation group,there were 46 true positive cases,1 false positive case,5 false negative cases,and 5 true negative cases in coronary angiography.The sensitivity,specificity,and accuracy of the observation group were 90.20%,83.33%,and 89.47%,which were higher than those of the control group(85.42%,66.67%,and 82.46%,respectively),and the differences were statistically significant.Conclusions Revolution CT vascular imaging DSCTA has high clinical d

关 键 词：Revolution CT血管成像 DSCTA 冠状动脉瘘 临床诊断价值 

分 类 号：R543.5[医药卫生—心血管疾病]