耳折程度与冠心病患者左主干或三支血管病变相关性分析

The relationship between ear lobe crease and left main/three vascular lesions in patients with coronary heart disease

目的分析冠心病患者耳折程度与冠脉造影左主干/三支血管病变(LM/3VD)的相关性。方法选取医院2013年1月-2014年12月收治的冠心病患者820例。根据造影结果分为LM/3VD组(198例)和non-LM/3VD组(622例)。根据耳折程度进行评分,同时,对冠状动脉病变行SYNTAX评分。分析耳折严重程度与冠心病患者LM/3VD的相关性。结果严重耳折预测冠心病患者LM/3VD的灵敏度76.76%,特异度84.56%,阳性预测值为61.29%,阴性预测值为91.96%,漏诊率23.23%,误诊率15.43%。结论严重耳折程度与冠心病患者LM/3VD密切相关,对冠心病患者的早期干预和治疗有一定的参考价值。

Objective To investigate the The relationship between ear lobe crease and Left Main/Three Vascular Le- sions in patients with coronary heart disease （CHD）. Methods There are 820 CHD patients were admitted to this hospital from January 2013 to December 2014. According to coronary angiography, those patients were divided into groups LM/3VD （n = 198）, non-LM/3 V D （n = 622）. Ear lobe crease＇s degree was detemined by inspection method. In the same time, the SYN- TAX Score of coronary artery in those patients of every group was calculated. Results The incidence of diabetes and ear lobe scores were higher in LM/3VD group than in non-LM/3VD group（ P 〈 0.05 ）. Meanwhile, the SYNTAX Scores were higher in LM/3VD group（P 〈 0. 01 ）. The sensitivity, specificity, misdiagnosis rate, missed diagnosis rate of ear lobe crease were 76. 76% ,84.56%, 15.43%, 23.23%, respectively, in predicting LM/3VD in CHD patients. Conclusion Among patients with CHD,the aggravated ear lobe crease can be used as an indicator judging whether LM/3VD exists,which is of some refer- ence value in early intervention and treatment in CHD patients.