摘要
目的分析双源计算机断层扫描(CT)多部位CT血管造影(CTA)一站式扫描在心脑血管病诊断中的应用价值。方法选取本院2020年6月至2021年10月收治的195例疑似心脑血管病患者(其中疑似脑血管病91例、疑似心血管病104例)作为研究对象,所有患者均行双源CT多部位CTA一站式扫描与数字剪影血管造影(DSA)检查,以DSA检查为金标准,分析双源CT多部位CTA一站式扫描在心脑血管病中的诊断价值。结果经DSA检查,最终有89例确诊为脑血管病(脑梗死52例、脑动脉瘤37例),100例确诊为心血管病(急性心肌梗死58例、冠心病心绞痛42例),共发现狭窄血管有大脑前动脉10支,大脑中动脉11支,大脑后动脉9支,颈动脉18支,椎基底动脉12支、左前降支43支,右冠状动脉37支,回旋支33支;共发现42枚动脉瘤,其中大脑前、中、后动脉17枚,颈动脉8枚,椎基底动脉7枚,前、后交通动脉10枚;经双源CT多部位CTA一站式扫描,最终87例确诊为脑血管病(脑梗死50例、脑出血37例),98例确诊为心血管病(急性心肌梗死58例、冠心病心绞痛40例),共发现狭窄血管有大脑前动脉10支,大脑中动脉10支,大脑后动脉9支,颈动脉17支,椎基底动脉12支、左前降支41支,右冠状动脉36支,回旋支33支;共发现40枚动脉瘤,其中大脑前、中、后动脉16枚,颈动脉8枚,椎基底动脉7枚,前、后交通动脉9枚;诊断脑动脉瘤、头颈动脉狭窄、冠状动脉狭窄与DSA的符合率分别为95.24%(40/42)、95.00%(57/60)、97.35%(110/113);诊断脑血管病的灵敏度、特异度、准确度分别为96.63%(86/89)、50.00%(1/2)、95.60%(87/91),诊断心血管病的灵敏度、特异度、准确度分别为97.00%(97/100)、75.00%(3/4)、96.15%(100/104)。结论双源CT多部位CTA一站式扫描在心脑血管病中具有较高的诊断价值,可为临床诊治提供参考依据。
Objective To analyze the application value of dual source computed tomography(CT)multi site CT angiography(CTA)one-stop scanning in the diagnosis of cardio-cerebrovascular diseases.Methods 195 patients with suspected cardiovascular and cerebrovascular diseases(including 91 suspected cerebrovascular diseases and 104 suspected cardiovascular diseases)treated in our hospital from June 2020 to October 2021 were selected as the research objects.All patients underwent dual source CT multi location CTA one-stop scanning and digital silhouette angiography(DSA).Taking DSA examination as the gold standard.The diagnostic value of dual source CT multi location CTA one-stop scanning in cardiovascular and cerebrovascular diseases was analyzed.Results After DSA examination,89 cases were finally diagnosed as cerebrovascular diseases(52 cases of cerebral infarction,37 cases of cerebral aneurysm),and 100 cases were finally diagnosed as cardiovascular diseases(58 cases of acute myocardial infarction,42 cases of coronary heart disease and angina pectoris).A total of 10 anterior cerebral arteries,11 middle cerebral arteries,9 posterior cerebral arteries,18 carotid arteries,12 vertebral basilar arteries,43 left anterior descending arteries,37 right coronary arteries,33 circumflex arteries were found.A total of 42 aneurysms were found,including 17 anterior,middle and posterior cerebral arteries,8 carotid arteries,7 vertebrobasilar arteries,and 10 anterior and posterior communicating arteries.After dual source CT multi site CTA one-stop scanning,87 cases were diagnosed as cerebrovascular disease(50 cases of cerebral infarction,37 cases of cerebral hemorrhage),98 cases were diagnosed as cardiovascular disease(58 cases of acute myocardial infarction,40 cases of coronary heart disease angina pectoris).A total of 10 anterior cerebral arteries,10 middle cerebral arteries,9 posterior cerebral arteries,17 carotid arteries,12 vertebrobasilar arteries,41 anterior descending left arteries,36 right coronary arteries,and 33 circumflex arteries were found.A total of 40 aneurysms were found,including 16 anterior,middle and posterior cerebral arteries,8 carotid arteries,7 vertebrobasilar arteries,and 9 anterior and posterior communicating arteries.The coincidence rates of cerebral aneurysm,head and neck artery stenosis and coronary artery stenosis with DSA were 95.24%(40/42),95.00%(57/60)and 97.35%(110/113),respectively.The sensitivity,specificity and accuracy in diagnosing cerebrovascular diseases were 96.63%(86/89),50.00%(1/2)and 95.60%(87/91),respectively.The sensitivity,specificity and accuracy in diagnosing cardiovascular diseases were 97.00%(97/100),75.00%(3/4)and 96.15%(100/104),respectively.Conclusion Dual source CT multi location CTA one-stop scanning has high diagnostic value in cardio cerebrovascular diseases,and it can provide reference for clinical diagnosis and treatment.
作者
张博源
路笑笑
皮长磊
柴娜
ZHANG Bo-yuan;LU Xiao-xiao;PI Chang-lei;CHAI Na(Chinese PLA Air Force Military Medical University Department of Radiology,First Affiliated Hospital,Xi'an 726100,Shaanxi Province,China;CT Room,Shaanxi Provincial People's Hospital,Xi'an 710068,Shaanxi Province,China;Department of Radiology,Xi'an Chest Hospital,Xi'an 710061,Shaanxi Province,China)
出处
《中国CT和MRI杂志》
2023年第6期97-99,共3页
Chinese Journal of CT and MRI
基金
国家自然科学基金资助项目(81902488)。
关键词
双源计算机断层扫描
CT血管造影
一站式扫描
心脑血管病
Dual Source Computed Tomography
CT Angiography
One Stop Scanning
Cardio Cerebrovascular Disease
