摘要
目的探讨320排容积CT冠状动脉钙化积分的临床应用价值。方法回顾性分析2014年12月—2015年5月在济南军区总医院行CT扫描及常规冠状动脉造影检查的60例患者资料,以常规造影为诊断标准,将患者分为冠心病组(28例,狭窄≥50%)与对照组(32例,狭窄<50%),利用CT计算每例患者总钙化积分及四大分支钙化积分,比较两组积分的差异性。同时,分析患者钙化积分与弗明汉危险积分的相关性。结果冠心病组钙化积分明显高于对照组,两组差异均有统计学意义(P<0.05)。患者钙化积分与弗明汉危险积分呈中度相关(r=0.641)。结论冠状动脉钙化积分评定在冠心病诊断中有重要价值,可作为临床预测冠心病的危险方法之一。
Objective To investigate the clinical value of coronary artery calcificum score（CACS） with320-slice volume CT. Methods The 60 patients who underwent CT coronary angiography and invasive coronary angiography（ICA） from December 2014 to May 2015 were enrolled in this study. The 60 patients were divided into the coronary heart disease group（n=28,stenosis≥50%） and the control group（n=32,stenosis50%） with ICA as standard reference. The calcium score of each patient and of each branch were calculated with CT;the two group＇s score difference was compared. The correlation between the calcium score and Framingham risk score was also analyzed at same time. Results The differences of the two groups was significant（P 0.05）,the coronary heart disease group was significantly higher than the control group. The total calcium scores were moderately correlated with Framingham risk score（r =0.641）. Conclusion Calcification score has important value in the diagnosis of coronary heart disease,and can be considered as one of the methods for clinical predicting the risk of coronary heart disease.
出处
《实用医药杂志》
2017年第2期139-141,共3页
Practical Journal of Medicine & Pharmacy
关键词
CT
冠状动脉
钙化积分
临床应用
CT
Coronary artery
Calcificum score
Clinical application
