128排256层螺旋CT血管造影术在评估非ST段抬高心肌梗死危险程度中的应用

冯长超; 王芳; 付敏

doi:doi:10.3969/j.issn.1007-7146.2018.03.009

激光生物学报, 2018, 27 (3): 246, 网络出版: 2018-09-07

128排256层螺旋CT血管造影术在评估非ST段抬高心肌梗死危险程度中的应用

The Application of 128 Row 256 Slice Spiral CT Angiography in Evaluating the Risk Degree of Non ST Segment Elevation Myocardial Infarction

论文大纲

冯长超 ¹王芳 ²付敏 ¹

作者单位

¹ 秦皇岛市第一医院CT室, 河北秦皇岛 066000

² 秦皇岛市第一医院检验科, 河北秦皇岛 066000

摘要

目的: 探讨128排256层螺旋计算机断层扫描(CT)血管造影术在评估非ST段抬高心肌梗死(NSTEMI)危险程度中的应用。方法: 选取2017年7月至2018年2月本院NSTEMI患者152例,所有患者均给予128排256层螺旋CT血管造影术、冠脉造影(CAG)检查,分析CT血管造影术对NSTEMI冠脉狭窄及其危险程度的评估价值。结果: 在检查NSTEMI无、轻度、中度、重度冠脉狭窄方面,CAG检查分别为18例、30例、62例、42例,CT血管造影术分别为19例、31例、62例、40例；以CAG为对照,CT血管造影术评估NSTEMI冠脉狭窄的敏感度、特异度、准确度分别为98.51%、94.44%、98.03%,差异无统计学意义(P>0.05)；以CAG为对照,CT血管造影术评估NSTEMI轻度、中度、重度冠脉狭窄的符合率分别为为86.67%、90.32%、90.48%,Kappa值为0.765,两种检查具有良好的的相关性。结论: 128排256层螺旋CT血管造影术可有效评估NSTEMI的冠脉狭窄及其危险程度,可作为一种早期评估NSTEMI病情的无创、简易、准确筛查方法,值得临床作进一步推广。

Abstract

Objective: To discuss the application of 128 row 256 slice spiral computed tomography (CT) angiography in evaluating the risk degree of non ST segment elevation myocardial infarction (NSTEMI). Methods: 152 patients with NSTEMI were selected from July 2017 to February 2018 in our hospital, according to the random distribution, all patients were examined by 128 row 256 slice spiral CT angiography and coronary angiography (CAG). The value of CT angiography for evaluating NSTEMI stenosis and its risk degree was evaluated. Results: For the check in NSTEMI no, mild, moderate, severe coronary artery stenosis, In CAG examination we had 18 cases, 30 cases, 62 cases, 42 cases; In CT angiography, we had 19 cases, 31 cases, 62 cases, 40 cases. Compared with CAG, the sensitivity, specificity, accuracy of CT angiography evaluating the NSTEMI coronary artery stenosis were respectively 98.51%, 94.44%, 98.03%, the difference was not statistically significant (P>0.05). Compared with CAG, the coincidence rate of CT angiography evaluating the NSTEMI mild, moderate, severe coronary artery stenosis were respectively 86.67%, 90.32%, 90.48%,the Kappa value was 0.765, two examination has a good correlation. Conclusions:128 row 256 slice spiral CT angiography can effectively evaluate the coronary artery stenosis and its risk degree of NSTEMI, it can be used as a non-invasive, simple and accurate screening method for the early assessment of NSTEMI condition,it’s worth for further clinical promotion.

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冯长超, 王芳, 付敏. 128排256层螺旋CT血管造影术在评估非ST段抬高心肌梗死危险程度中的应用[J]. 激光生物学报, 2018, 27(3): 246. FENG Changchaoa, WANG Fangb, FU Mina. The Application of 128 Row 256 Slice Spiral CT Angiography in Evaluating the Risk Degree of Non ST Segment Elevation Myocardial Infarction[J]. Acta Laser Biology Sinica, 2018, 27(3): 246.

128排256层螺旋CT血管造影术在评估非ST段抬高心肌梗死危险程度中的应用

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