宝石ct血管成像在冠心病诊断的应用分析-application analysis of gem ct angiography in diagnosis of coronary heart disease.docxVIP

下载本文档

4
0
约3.13万字
约 43页
2018-06-28 发布于上海
举报
版权申诉

宝石ct血管成像在冠心病诊断的应用分析-application analysis of gem ct angiography in diagnosis of coronary heart disease.docx

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

宝石ct血管成像在冠心病诊断的应用分析-application analysis of gem ct angiography in diagnosis of coronary heart disease

汕头大学医学院硕士学位论文汕头大学医学院硕士学位论文 II II GCTA对冠状动脉狭窄诊断有较高的准确性,可作为高危人群普查筛选的首选方法之一。关键词宝石 CT 血管成像;冠状动脉造影;冠心病 III III Abstract Objective The objective of the current study was to evaluate the accuracy and feasibility of Gemstone Computed Tomography Angiography（GCTA） in detecting coronary artery stenosis in patients probability for having CAD when compared with invasive angiography. To explore the diagnosis of CAD and its clinical signification with gemstone computed tomography (GCT). Subjects and Methods 36 patients with known or suspected CAD in the First Affiliated Hospital of Shantou University Medical College during Mar. 2010 to Apr.2011 were studied. Each patient underwent CTA and conventional catheter-based selective coronary angiography (CAG) which served as gold standard in 1 week. For the analysis of GCTA and CAG, the coronary artery tree was broken down in 15 segments after a modified American Heart Association (AHA) classification and all segments were analysed individually. A luminal narrowing of ≥50% based on visual estimation was considered significant in both modalities. The diagnostic accuracy of GCTA was expressed as sensitivity, specificity, positive predictive value, negative predictive value and diagnose accordance rate. Results Of a total of 540 coronary artery segments, 523(97%) were visible by GCTA and CAG simultaneously. The GCTA had a sensitivity of 90.7%, specificity of 98.7%, positive predictive value of 90.0%, negative predictive value of 98.9%, diagnose PAGE PAGE IV accordance rate of 98.0%, respectively. Conclusion The GCTA has a high accuracy for the detection of significant coronary stenosis and therefore can be considered as a valuable noninvasive technique. Key Words Gemstone computed tomography angiography ； Coronary angiography ； Coronary atherosclerotic heart disease 英文缩写缩略词英文全名中文名 AM acute marginal branch 锐缘支 CACS coronary artery calcification score 冠状动脉钙化积分 CAD coronary atherosclerotic heart disease 冠状动脉粥样硬化性心脏病 CAG coronary angi