解放军医学院学报2017，Vol.38Issue(7)：611-614,4.DOI:10.3969/j.issn.2095-5227.2017.07.005
心脏多层螺旋CT对飞行人员冠心病的诊断价值
Diagnostic value of multi-slice spiral computed tomography in pilots with coronary heart disease
摘要
Abstract
Objective To explore the clinical value of multi-slice spiral computed tomography in the diagnosis of coronary heart disease (CHD) in pilots.Methods Twenty nine pilots with suspected CHD in our hospital underwent multi-slice spiral computed tomography (MSCT) and the coronary angiography (CAG).The sensitivity,specificity,positive predictive value (PPV) and negative predictive value (NPV) of MSCT in the diagnosis of coronary artery stenosis were analyzed and compared with CAG results.Results All pilots received MSCT and CAG.MSCT showed normal coronary artery in 5 cases,myocardial bridge in 5 cases and coronary artery stenosis at different level in 19 cases with one case complicated by myocardial bridge.Meanwhile,MSCT showed 20 segments of mild stenosis,9 segments of moderate stenosis and 5 segments of severe stenosis in 29 pilots.Comparing to CAG results,the sensitivity,specificity,PPV and NPV of MSCT in the diagnosis of coronary artery stenosis and segment stenosis were 73.7％,99.5％,93.3％,97.4％ and 79.2％,95.7％,82.6％,94.6％,respectively.Conclusion MSCT is a noninvasive method for the diagnosis of CHD.The plaque on the vessel wall and the stenosis of coronary artery can be accurately detected by MSCT,which has a high clinical value in the diagnosis of CHD in pilots.关键词
体层摄影术,螺旋计算机/冠状血管造影术/冠状动脉疾病Key words
tomography, spiral computed/coronary angiography/coronary artery disease分类
医药卫生引用本文复制引用
陈诗婷,孙津津,牟宗阳,殷雪娇,郑军,罗惠兰..心脏多层螺旋CT对飞行人员冠心病的诊断价值[J].解放军医学院学报,2017,38(7):611-614,4.基金项目
部委级资助项目 （）
全军“十二五”重点项目(BWS11J054)Supported by the 12th Five Years Programs of Chinese PLA(BWS11J054) （BWS11J054）
