摘要
目的:针对糖尿病下肢动脉硬化闭塞症患者,研究分析128排CT诊断的临床应用价值。方法:以2016年1月-2019年12月我院影像科收录的总计34例糖尿病下肢动脉硬化闭塞症患者为对象,所有患者均采用实施128排CT冠状动脉成像检测,将病理诊断结果作为参照标准,进行回顾性分析,对比诊断效果,分析128排CT诊断的临床价值。结果:128排CT共检测了776根血管,其中冠状动脉狭窄情况≥70%的特异度为(91.39%)、灵敏度为(96.49%)、阳性预测值为(88.96%)、阴性预测值为(97.14%),狭窄情况≥70%的特异度为(95.26%)、灵敏度为(95.33%)、阳性预测值为(93.41%)、阴性预测值为(96.09%),狭窄情况≥70%的特异度为(83.99%)、灵敏度为(93.14%)、阳性预测值为(76.35%)、阴性预测值为(94.87%)。结论:对糖尿病下肢动脉硬化闭塞症患者采用128排CT冠状动脉成像检测,能够帮助对冠状动脉狭窄情况分析,值得推广。
Objective To study and analyze the clinical value of 128 row CT in the diagnosis of diabetic arteriosclerosis obliterans.Methods From January 2019 to December 2019,34 patients with diabetic arteriosclerosis obliterans in the imaging department of our hospital were selected as the subjects.All patients were examined by 128 row CT coronary angiography.The pathological diagnosis results were taken as the reference standard,and the clinical value of 128 row CT diagnosis was analyzed.Results A total of 776 vessels were detected by 128 row CT,of which the specificity (91.39%),the sensitivity (96.49%),the positive predictive value (88.96%),the negative predictive value (97.14%),the specificity (95.26%),the sensitivity (95.33%),the positive predictive value (93.41%),the negative predictive value (96.09%) were ≥ 70%,and the stenosis was ≥ 70% The specificity was 83.99%,sensitivity 93.14%,positive predictive value 76.35%,negative predictive value 94.87%.Conclusion 128 slice CT coronary angiography can help to analyze the coronary artery stenosis in patients with diabetic arteriosclerosis obliterans.
作者
杨波
Yang Bo(Qinghai Oilfield Hospital,Dunhuang,Gansu 736202,China)
出处
《影像研究与医学应用》
2020年第16期13-14,共2页
Journal of Imaging Research and Medical Applications
关键词
128排CT
糖尿病
下肢动脉硬化闭塞症
临床诊断
应用价值
128 slice CT
Diabetes mellitus
Lower extremity arteriosclerosis obliterans
Clinical diagnosis
Application value
