摘要
目的评价高端能谱RevolushionCT在诊断冠状动脉起源畸形中的应用价值。方法回顾性分析2019年10月~2021年4月在华北理工大学附属医院CT室进行高端能谱RevolushionCT冠状动脉造影(coronary angiography,CA)检查的患者4537例,分析冠状动脉起源畸形情况。同时对其中2020例患者以选择性冠状动脉造影(selcetive coronary angiography,SCA)检查为金标准,分析高端能谱RevolushionCTCA检查在冠状动脉起源畸形中的诊断准确率。结果4537例患者中,共查出先天性冠状动脉起源畸形79例,检出率为1.74%(79/4537)。其中高位起源于窦上32例,检出率为0.70%(32/4537),构成比为40.5%(32/79);多支冠状动脉21例,检出率为0.46%(21/4537),构成比为26.6%(21/79);单支冠状动脉11例,均为右冠状动脉发自左冠状动脉,检出率为0.24%(11/4537),构成比为13.9%(11/79);主干或分支发自对侧主动脉窦或上方15例,检出率为0.33%(15/4537),构成比为19.0%(15/79)。高端能谱RevolushionCTCA检查对冠状动脉畸形的诊断敏感度、特异性、总符合率、约登指数、观察符合率和Kappa值均为1.000。结论高端能谱RevolushionCTCA可以清楚显示冠状动脉起源畸形情况,与有创性SCA比较,其在显示冠状动脉的起源畸形方面具有较高的准确率。
Objective To evaluate the application value of high-end energy spectrum RevolushionCT in the diagnosis of congenital coronary artery malformation.Methods A total of 4537 patients who underwent high-end energy spectrum RevolushionCTCA examination in the CT room,Affiliated Hospital of North China University of Science and Technology from October 2019 to April 2021 were retrospectively analyzed,to analyze the origin of congenital coronary artery malformation.At the same time,the diagnostic accuracy of RevolushionCTCA in congenital coronary malformation was analyzed using selcetive coronary angiography(SCA)test as the gold standard in 2020 patients.Results In the 4537 patients,a total of 79 cases of congenital coronary artery malformation were detected,with the detection rate of 1.74%(79/4537).In 32 cases with high position originated from the supra sinus,the detection rate was 0.70%(32/4537),and the constituent ratio was 40.5%(32/79);in 21 cases with multiple coronary arteries,the detection rate was 0.46%(21/4537),and the constituent ratio was 26.6%(21/79);in 11 cases with single coronary artery,all of which were the right coronary artery originated from the left coronary artery,the detection rate was 0.24%(11/4537),and the constituent ratio was 13.9%(11/79);In 15 cases,with the main trunk or branch originated from the contralateral aortic sinus or above,the detection rate was 0.33%(15/4537),and the constituent ratio was 19.0%(15/79).The diagnostic sensitivity,specificity,total coincidence rate,Youden index,observation coincidence rate and Kappa value of high-end energy spectrum RevolushionCTCA test for congenital coronary artery malformation were all 1.000.Conclusion high-end energy spectrum RevolushionCTCA can display congenital coronary artery malformation.Compared with invasive SCA,high-end energy spectrum RevolushionCTCA has a higher accuracy in the display of congenital coronary artery malformation.
作者
周伟
李盖
张明剑
陈伟彬
张惠英
ZHOU Wei;LI Gai;ZHANG Mingjian(CT Room,Affiliated Hospital of North China University of Science and Technology,Hebei 063000,China)
出处
《医学研究杂志》
2023年第1期72-75,共4页
Journal of Medical Research
基金
河北省医学科学研究重点课题计划项目(20160741)。
