多层螺旋CT血管造影与常规冠状动脉造影对冠状动脉病变诊断价值的比较

S. Bayar, Q. Feng
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引用次数: 0

摘要

目的:本研究的目的是反思性评估多探测器血管造影作为常规冠状动脉造影的不同选择在评估冠状动脉疾病中的分析准确性。材料和方法:本回顾性研究选择了57例患者,他们接受了常规冠状动脉造影(CCA)和多探测器计算机冠状动脉造影(MDCT)。对931个开放段的骨料进行了研究。其中95节段狭窄水平移位,34节段狭窄70%。结果:64层MDCT诊断狭窄的敏感性和特异性分别为78.57%和99.34%;81.08%和99.33%;87.5%和99.78%。阳性预测值(PPV)和阴性预测值(NPV)分别为78.57%和99.34%;83.33%和99.22%;87.5%和99.78%。总体精度分别为88.95%、90.2%和93.64%。常规冠状动脉造影与64层计算机断层扫描在中度(50-70%)和重度(>70%)狭窄的分析准确性无明显差异(p>0.05)。尽管如此,轻度狭窄(<50%)存在临界对比(p<0.05)。结论:多探头冠状动脉造影(MDCT)对中度和极度狭窄有较高的指示性,可作为常规冠状动脉造影(CCA)的替代手段。
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Comparison of Diagnostic Performance of Multi Detector CT Angiography with Conventional Coronary Angiography for Assessment of Coronary Artery Disease
Aim: The point of this study was to reflectively assess the analytic exactness of multi detector angiography as a different option for conventional coronary angiography in evaluating coronary artery disease. Materials and Methods: This review study selected 57 patients, who experienced both conventional coronary angiography (CCA), and additionally multi-detector computed coronary angiography (MDCT). Aggregate of 931 open segments were studied. Of which 95 portions indicated shifted level of stenosis, with 34 segments 70% stenosis. Results: The affectability and specificity of 64 slice MDCT for identifying stenosis in 70% are 78.57% and 99.34%; 81.08% and 99.33%; 87.5% and 99.78%. The positive predictive value (PPV) and negative predictive value (NPV) are 78.57% and 99.34%; 83.33% and 99.22%; 87.5% and 99.78% individually. Over all exact nesses are 88.95%, 90.2% and 93.64% separately. There was no critical contrast in analytic exactness between conventional coronary angiography and 64 slice computed tomography in moderate (50-70%) and additionally severe (>70%) stenosis (p>0.05). Be that as it may, critical contrast was found in gentle (<50%) stenosis (p<0.05). Conclusion: Indicative exactness of multi detector coronary angiography (MDCT) was found to be higher in moderate and extreme stenosis and can be utilized as a substitute to conventional coronary angiography (CCA).
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