螺旋CT冠状动脉造影对无症状型冠心病患者的诊断价值

2015-01-30王彦辉

中国药物经济学 2015年10期

关键词：诊断

王彦辉

螺旋CT冠状动脉造影
对无症状型冠心病患者的诊断价值

王彦辉

【摘要】目的探讨螺旋CT冠状动脉造影术诊断无症状型冠心病的临床价值。方法选取2012年10月至2014年10月在山东济宁医学院附属医院就诊的无症状型冠心病患者资料96例，均通过螺旋CT冠状动脉造影术对病情进行诊断，在该项检查结束后2周内接受经皮选择性冠状动脉造影。比较螺旋CT冠状动脉造影检查结果与经皮选择性冠状动脉造影检查结果的符合率。结果经螺旋CT冠状动脉造影与经皮选择性冠状动脉造影的确诊率差异无统计学意义（P＞0.05）。结论螺旋CT冠状动脉造影术对无症状型冠心病诊断的准确度较高，且具有安全、无创、快捷等优点。

【关键词】螺旋CT冠状动脉造影；无症状型冠心病；诊断

【中图分类号】R445.1;R541.1

【文献标志码】A

【文章编号】1673-5846(2015)10-0176-02

【Abstract】Objective To investigate the clinical value of spiral CT coronary angiography in diagnosis of asymptomatic coronary artery disease.Methods Selected in October 2012 to 2014 October in Shandong Jining Medical College Affiliated Hospital of 96 patients with no symptoms in patients with coronary heart disease,by spiral CT coronary artery angiography for diagnosis of the disease,in the examination after the end of the two weeks accept percutaneous selective coronary angiography.The coincidence rate of the results of coronary artery angiography and percutaneous selective coronary angiography were compared with the results of spiral CT coronary angiography. Results There was no significant difference in the diagnostic accuracy of spiral CT coronary angiography and percutaneous selective coronary angiography(P＞0.05).Conclusion Spiral CT coronary angiography has a higher accuracy in diagnosis of asymptomatic coronary heart disease,and has the advantages of safety,noninvasive and quick.

山东济宁医学院附属医院，山东济宁 272029

The Diagnostic Value of Spiral CT Coronary Angiography in Asymptomatic Coronary Artery Disease

Wang Yanhui

【Key words】Spiral CT coronary angiography;Asymptomatic coronary artery disease;Diagnosis

无症状型冠心病是公认的病死率较高的一种心血管疾病，对患者的身心健康造成严重影响[1]。尽早诊断可以最大程度地控制无症状型冠心病的发生，提高该疾病的临床诊断率和治疗有效率。目前，经皮选择性冠状动脉造影术仍然是临床对该疾病诊断的金标准，但由于该项诊断操作属于有创检查，部分患者不愿意接受，使得如何更好地对该疾病进行诊断，成为热点性研究课题[2]。本研究就螺旋CT冠状动脉造影术诊断无症状型冠心病的临床价值进行分析，现报道如下。