【摘要】 目的比较64排螺旋CT血管成像(MSCTA)与数字减影血管造影(DSA)在冠状动脉造影中的诊断价值。方法选取河北省人民医院2011年6月至2014年1月经临床表现拟诊的54例行MSCTA与DSA检查的冠心病患者为研究对象,回顾性分析其临床资料,结合相关文献,比较MSCTA与DSA在冠状动脉造影中的诊断价值。结果 54例患者共获得652支可评价血管。MSCTA检查与DSA法检出冠状动脉狭窄血管支数比较,差异无统计学意义(χ2=0.727,P>0.05)。两种检查方法检出冠状动脉内斑块性质比较,差异无统计学意义(χ2=0.583,P>0.05)。结论 MSCTA检查空间分辨率高,MSCT检查对冠状动脉粥样硬化狭窄及斑块性质的判断上具有较大的实际意义,适合临床普及应用。更多还原

【Abstract】 Objective To compare the diagnostic performance of 64-row multislice computer tomography angiography(MSCTA)and digital subtraction angiography(DSA)of coronary angiography.Methods A total of 54 patients,receiving MSCTA and DSA examination and diagnosed with coronary heart disease in this hospital from Jun.2011 to Jan.2014,were enrolled,and the clinical data were retrospectively analyzed to compare the diagnostic performance of MSCTA and DSA of coronary angiography.Results Among all of the 54 patients,652coronary vessels were evaluated.There were 425 coronary vessels were with the same examined outcomes of MSCTA and DSA,and the numbers of vessels with arteriarctia were without statistical difference between the two methods,but without statistical difference(χ2=0.727,P>0.05).The number of calcified plaque in coronary artery,identified by MSCTA were higher than DSA,but without statistical difference(χ2=0.583,P>0.05).Conclusion MSCTA of coronary angiography might be more suitable for clinical universal application to identify the arteriarctia and plaque in coronary,compared with DSA.更多还原