摘要
目的:分析腹主动脉CT血管成像(CTA)扫描联合胸痛三联CTA检查(TRO-CTAwAA)对急性冠脉综合征(ACS)的诊断价值。方法:选取2023年5月至2024年5月期间,以主诉胸痛、胸闷入院且在本院接受诊治的138例疑似ACS患者,均接受冠状动脉造影(CAG)检查、TRO-CTAwAA检查。以CAG检查结果作为金标准,将所有患者分为ACS组、非ACS组。比较两组主动脉狭窄率、腹壁下动脉最大径和、胸廓内动脉最大径和;采用多因素Logistic回归分析ACS相关影响因素;绘制受试者操作特征(ROC)曲线分析各指标单独与联合对ACS的诊断价值。结果:ACS组主动脉狭窄率、腹壁下动脉最大径和、胸廓内动脉最大径和均比非ACS组高(P<0.05)。多因素Logistic回归分析结果显示:主动脉狭窄率、腹壁下动脉最大径和、胸廓内动脉最大径和均是ACS的危险因素(P<0.05)。ROC曲线结果显示,主动脉狭窄率、腹壁下动脉最大径和、胸廓内动脉最大径和单独诊断ACS的AUC分别为0.770、0.788、0.773,三项联合诊断ACS的AUC为0.912,联合诊断价值最高。结论:TRO-CTAwAA检查中主动脉狭窄率、腹壁下动脉最大径和、胸廓内动脉最大径和指标对ACS具有一定诊断价值,且联合检测诊断价值最高。
Objective:To analyze the diagnostic value of CT angiography(CTA)combined with triple rule-out CTA(TRO-CTA)with abdominal aorta(TRO-CTAwAA)in acute coronary syndrome(ACS).Methods:From May 2023 to May 2024,138 patients with suspected ACS who were admitted to our hospital complaining of chest pain and distress received coronary angiography(CAG)examination and TRO-CTAwAA examination.The results of CAG examination were used as the gold standard to divide all patients into the ACS group and non-ACS group.Aortic stenosis rate,maximum diameter sum of inferior epigastric artery and sum of maximum diameters of internal thoracic artery were compared between the two groups.Multivariate Logistic regression was used to analyze the influencing factors of ACS.Receiver operating characteristic(ROC)curve was drawn to analyze the diagnostic value of each indicator in ACS alone and in combination.Results:The rate of aortic stenosis,the maximum diameter sum of inferior abdominal artery and the maximum diameter sum of internal thoracic artery in ACS group were higher than those in non-ACS group(P<0.05).Multivariate Logistic regression analysis.Results demonstrated that aortic stenosis rate,the maximum diameter sum of inferior abdominal artery and the maximum diameter sum of internal thoracic artery were all risk factors for ACS(P<0.05).ROC curve results showed that the AUC of aortic stenosis rate,maximum diameter sum of inferior abdominal artery,maximum diameter of internal thoracic artery and single diagnosis of ACS were 0.770,0.788 and 0.773,respectively,and the ACS of the three combined diagnoses was 0.912,indicating the highest value of combined diagnosis.Conclusion:The aortic stenosis rate,the maximum diameter sum of inferior abdominal artery,and the maximum diameter and indexes of internal thoracic artery in TRO-CTAwAA examination have certain diagnostic value for ACS,and the combined detection has the highest diagnostic value.
作者
王书婷
WANG Shuting(Department of Radiology,Guangyuan Mental Health Center,Sichuan 628000,China)
出处
《影像科学与光化学》
2025年第6期147-152,共6页
Imaging Science and Photochemistry
