64排螺旋CT结合冠脉造影诊断冠心病的价值

Diagnostic Value of 64-Slice Spiral CT Combined with Coronary Angiography in Coronary Heart Disease

目的探讨64排螺旋CT结合冠脉造影用于冠心病诊断的价值,为冠心病的临床诊断提供更多依据。方法选择2017年1月至2018年3月在本院接受相关治疗的冠心病患者共计48例作为研究对象,均采用64排螺旋CT结合冠脉造影进行诊断,探讨这种诊断方法对于冠心病诊断的应用价值。结果本研究的48例患者经过64排螺旋CT结合冠脉造影诊断诊断,共144支冠脉,其中64排螺旋CT诊断中有137支得到清晰显影,占比为95.14%,经过计算,64排螺旋CT用于冠心病诊断的灵敏度为96.55%,特异度为96.49%,阳性预测值为97.67%,阴性预测值为94.83%。结论 64排螺旋CT用于冠心病诊断中具有较高的准确率,可以作为冠心病诊断中的一项重要手段,为临床治疗提供更为可靠的依据,并且其具有高效、无创等优点,具有较高的临床推广价值。

Objective To explore the value of 64-slice spiral CT combined with coronary angiography in the diagnosis of coronary heart disease, to provide more evidence for the clinical diagnosis of coronary heart disease. Methods From January 2017 to March 2018, a total of 48 patients with coronary heart disease received relevant treatment in our hospital, all patients were diagnosed with 64-slice spiral CT combined with coronary angiography, to explore the value of this diagnostic method in the diagnosis of coronary heart disease. Results 48 patients in this study underwent 64-slice spiral CT combined with coronary angiography, with 144 coronary arteries, of which 137 were clearly developed in 64-slice spiral CT,the proportion is 95.14%, after calculation, the sensitivity of 64 slice spiral CT in diagnosing coronary heart disease is 96.55%, specificity is96.49%, positive predictive value is 97.67%, and negative predictive value is 94.83%. Conclusion 64-slice spiral CT has a high accuracy in the diagnosis of coronary heart disease, it can be used as an important method in the diagnosis of coronary heart disease and can provide a more reliable basis for clinical treatment. Moreover, it has the advantages of high efficiency, non-invasive and so on, and has higher clinical popularization value.