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目的探讨16排螺旋CT在高危胸痛诊断中的应用价值。方法选取2013年5月—2015年12月万安县人民医院收治的高危胸痛患者84例,根据入院时间不同分为观察组与对照组,各42例。观察组患者给予16排螺旋CT检查,对照组患者给予普通CT检查。以手术结果为金标准,比较两组误诊率。结果观察组患者16排螺旋CT清晰显示冠状动脉左右主干及主要分支、主动脉等病变,观察组误诊率为4.76%(2/42),低于对照组的33.33%(14/42),差异有统计学意义(P<0.05)。结论 16排螺旋CT在高危胸痛诊断中的应用价值较高,可清晰地显示主动脉、冠状动脉病变,且临床确诊率较高。
Objective To investigate the value of 16-slice spiral CT in the diagnosis of high-risk chest pain. Methods From May 2013 to December 2015, 84 patients with high-risk chest pain were admitted to Wanan People’s Hospital. According to the different time of admission, the patients were divided into observation group and control group, with 42 cases in each group. Patients in the observation group were given 16-slice spiral CT examination while patients in the control group were given ordinary CT examination. Surgical results as the gold standard, compared with the misdiagnosis rate of the two groups. Results The 16-slice spiral CT of the observation group clearly showed the left and right main branches of the coronary artery and the main branches and aorta. The misdiagnosis rate in the observation group was 4.76% (2/42), which was lower than that in the control group (33.33%, 14/42) There was statistical significance (P <0.05). Conclusions 16-slice spiral CT is of high value in the diagnosis of high-risk chest pain, and can clearly show the aorta and coronary artery lesions with a high diagnosis rate.