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CT冠脉造影和DSA对急性冠脉综合症的诊断价值分析 被引量:1

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摘要 目的对比CT冠脉造影和DSA对急性冠脉综合症的诊断价值。方法研究对象为76例2009年8月-2012年3月入我院被高度怀疑为急性冠脉综合症的患者,有33例患者行64排128层CT冠脉造影成像检查,有43例患者行DSA检查,并且在随后治疗中跟踪患者的生化指标和心电图以验证诊断的准确性。结果 CT冠脉造影组中,CT冠脉造影的敏感性为100%(11/11)(95%置信区间为100%-100%),特异性为89.47%(17/19)(95%置信区间为84%-100%),阳性准确率为84.62%(11/13)(95%置信区间73%-100%),阴性准确率为100%(19/19)(95%置信区间为100%-100%)。DSA组的患者中,DSA的敏感性为100%(19/19)(95%置信区间为100%-100%),特异性为95.65%(22/23)(95%置信区间为90%-100%),阳性准确率为95%(19/20)(95%置信区间85%-100%),阴性准确率为100%(23/23)(95%置信区间为100%-100%)。结论在诊断急性冠脉综合症的临床工作中,DSA的价值高于CT冠脉造影。
作者 李瑞元
出处 《中国医学工程》 2013年第2期82-82,85,共2页 China Medical Engineering
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