[1]何忆雯,秦永文,丁仲如.６４排螺旋CT冠脉成像在冠心病诊断中的应用[J].介入放射学杂志,2007,(01):10.
　HE Yi-wen,QIN Yong-wen,DING Zhong-ru.Preliminary evaluation of６４-slice spiral CT coronary angiograpy in patients with coronary artery disease[J].journal interventional radiology,2007,(01):10.
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６４ 排螺旋 CT 冠脉成像在冠心病诊断中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年01期
页码:
10
栏目:
心脏介入
出版日期:
2007-01-15

文章信息/Info

Title:
Preliminary evaluation of６４-slice spiral CT coronary angiograpy in patients with coronary artery disease
作者:
何忆雯; 秦永文; 丁仲如
２００４３３上海第二军医大学长海医院心内科
Author(s):
HE Yi-wen; QIN Yong-wen; DING Zhong-ru
Department of Cardiology，Changhai Hospital，Second Military Medical University，Shanghai２００４３３，China
关键词:
６４排螺旋CT; 冠状血管造影术; 冠心病
分类号:
R４４８.３；R５４３.３
文献标志码:
A
摘要:
目的评价６４排螺旋CT冠状动脉（冠脉）成像（CTA）在冠心病诊断中的应用价值。方法以选择性冠脉造影（SCA）结果为金标准，采用６４排螺旋CT对６８例疑诊冠心病患者的冠脉主干及主要分支２７２节段进行重建和分析，评价其诊断冠心病的灵敏度和特异度。结果CTA能够清晰显示冠脉主干及其分支狭窄、钙化、开口起源异常及桥血管病变，CTA发现钙化病变５２节段，SCA仅发现钙化病变３５节段。CTA诊断冠脉病变的灵敏度９６．３３％，特异度９８．１６％，阳性预测值９７．２２％，阴性预测值９７．５６％。其中对左主干、左前降支病变及＞７５％的病变灵敏度最高，分别达到１００％和９４．４％。结论CTA对冠脉狭窄病变、桥血管、开口畸形、支架管腔均显影良好，对冠心病诊断有较高的准确性，对钙化病变诊断率优于冠脉造影，可以作为冠心病高危人群无创性筛选检查及冠脉支架术后随访手段。

参考文献/References:

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［２］Wang YN，Jin ZY，Kong LY，et al．Comparison of coronary angiography between６４-slice and１６-slice spiral CT［J］．Zhongguo Yi Xue Ke Xue Yuan Xue Bao，２００６，２８：２６-３１．
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备注/Memo

备注/Memo:
收稿日期：２００６-０７-１０
更新日期/Last Update: 2007-01-15