[高血压医学论文] 【摘要】 目的:评价16排螺旋CT冠状动脉显像(冠状动脉CTA)联合运动平板试验(TET)对冠心病的诊断价值。方法:分析10个月来在我院行冠状动脉造影(CAG)的资料完整的病例165例。其中术前行冠状动脉CTA检查57例;行TET检查76例;二者联合检查32例。结果:冠状动脉CTA组敏感性94%,特异性58%,阳性预测值72%。TET组敏感性56%,特异性78%,阳性预测值63%。联合检查组敏感性95%,特异性85%,阳性预测值90%。结论:冠状动脉CTA联合运动平板试验可显著提高疑似冠心病检出率。
【关键词】 冠心病 螺旋CT 运动平板试验 冠状动脉造影
The Value of Spiral CT Coronary Arteriography Combined with Treadmill Exercise Testing in Diagnosis of Coronary Heart Disease
Li Liqiang;Zhang Ruihong;Wu Huimin
The First People’s Hospital of Xuzhou, Xuzhou, Jiangsu 221002, China
Abstract:Objective To assess the value of 16slice spiral CT coronary arteriography(coronary CTA) combined with treadmill exercise testing(TET) in diagnosing coronary heart disease(CHD).Methods 165 suspected CHD patients with clinical presentation perfectly collected were summarized in about 10 months recently.Every patient was examined by coronary angiography(CAG).Spiral CT scanning were performed in 57 cases;76 cases were examined by TET,and 32 cases were received both examination before operation. Results In coronary CTA group,the sensitivity,specificity and positive predictive values was 94%,58%,72%,in TET group was 56%,78%,63%,while in combination group was 95%,85%,90%. Conclusion Cronary CTA combined TET can significantly improve the iden……
<<<<<全文未完,本文约1974个中文字,未计算英文字母、数字>>>>>
|