·糖尿病心血管病·

        贾淑杰、李敏、陈青、李菁、米树华

　　作者单位：100029北京，首都医科大学附属北京安贞医院特需病房　　

　　　【摘要】目的   评价64排螺旋CT冠状动脉成像在冠心病(CAD)合并糖尿病患者冠状动脉病变诊断中的价值。方法  345例应用64排螺旋CT疑诊为CAD的糖尿病患者, 以冠状动脉造影(CAG)   结果  为金指标, 评价64排螺旋CT在CAD诊断中的价值。 对3 568支冠状动脉血管进行选择性CAG检查, 将两种方法的检查结果进行对照分析。结果  64排螺旋CT对冠状动脉狭窄的诊断与CAG比较，差异无统计学意义(P>0.05)。64排螺旋CT显示多排螺旋CT血管造影(MSCTA)诊断冠状动脉狭窄有较高的敏感性、特异性、阳性预测值及阴性预测值。结论64排螺旋CT冠状动脉成像技术是一项可靠的CAD诊断方法,作为一项非创伤性检查技术, 是评价冠状动脉病变的重要手段。

　　【关键词】冠心病;糖尿病;64排螺旋CT; 冠状动脉造影术

　　doi:10.3969/j.issn.1006-6187.2011.12.007

　　The diagnostic value for coronary artery disease with 64-slice CT coronary angiography (CTCA) in patients with suspected coronary heart disease plus diabetes mellitusJIA Shu-jie，LI Min，CHEN Qing，et al.VIP Department of Cardiovascular ， Beijing Anzhen Hospital, Beijing 100029, China

　　【Abstract】  Objective   To evaluate 64-slice CT coronary angiography for diagnosis of coronary artery disease (CAD) in patients with diabetes mellitus.    Methods   345 patients with suspected coronary heart disease plus diabetes mellitus were treated with 64-slice CTCA. The coronary artery angiography (CAG) results were the gold standard for evaluating the diagnosis of coronary heart disease (CHD). 3568 coronary arteries were selected for coronary angiography. The results were compared between CAG and CTCA.    Results   There was no significant difference between 64-slice CTCA and CAG for diagnosis of coronary artery stenosis (P>0.05). 64-slice CTCA for diagnosis of coronary artery stenosis had high sensitivity, specificity, positive predictive value and negative predictive value.    Conclusions    64-slice CT coronary artery imaging as a non-invasive inspection technology is a reliable diagnostic method for screening coronary heart disease.

　　【Key words】Coronary heart disease; Diabetes mellitus; 64-slice CT; Coronary artery angiography