71例平板运动试验可疑阳性患者螺旋CT冠状动脉成像结果研究.docVIP

71例平板运动试验可疑阳性患者螺旋CT冠状动脉成像结果研究[摘要] 目的 探讨平板运动试验可疑阳性对冠状动脉粥样硬化病变诊断的准确性。 方法 对71例平板运动试验可疑阳性的患者同期进行64排螺旋CT冠状动脉成像检查，采用校正χ2检验进行检查结果差异的比较。 结果 71例平板运动试验可疑阳性患者中，经64排螺旋CT冠状动脉成像检查提示有冠状动脉病变者62例（87.3%），包括双支病变21例，三支病变18人，单支病变23人；呈阴性者9人（12.7%）。两种检测方法的结果差异有统计学意义(校正χ2=7.592 3，P = 0.005 9)。 结论 平板运动试验对提示冠状动脉粥样硬化病变具较高的敏感性及特异性，但是此项检查受到年龄、性别、运动量及基础病等多种原因的影响，易出现可疑阳性，应综合临床情况评价其结果。 [关键词] 平板活动试验；可疑阳性；CT冠状动脉成像；诊断 [中图分类号] R541.4 [文献标识码] B [文章编号] 1674-4721（2012）07（b）-0248-02 Result analysis of MSCT coronary angiography of 71 patients with treadmill exercise test probable positive DONG Hongwei1 CHENG Hong2 1.Department of Heart Function Examination Room，Shenzhen Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine in Guangdong Province, Shenzhen 518033, China; 2.Department of Cardiology, Shenzhen Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine in Guangdong Province, Shenzhen 518033, China [Abstract] Objective To evaluate the accuracy of treadmill exercise test (TET) probable positive suggesting coronary atherosclerosis. Methods Seventy one patients with TET probable positive were picked and given 64-slice spiral CT coronary angiography simultaneously. Correction Chi-square test was used to identify the difference between the two tests. Results Among the 71 patients with TET probable positive, the result of 64-slice spiral CT coronary angiography suggested 62 cases（87.3%）with coronary atherosclerosis, 21 cases with double vessels lesion, 18 cases with triple vessels lesion and 23 cases with single vessel lesion, while 9 cases (12.7%) were negative. There was a significant statistical difference between the results of the two tests (χ2=7.592 3，P = 0.005 9). Conclusion TET is sensitivity and specificity on diagnosing coronary atherosclerosis. While the result of this test is often probable positive because of influencing of some factor such as age, gender, amount of exercise and bas