64层螺旋CT联合心肌酶检查应用于急性心源性胸痛诊断的临床价值分析

摘要

ObjectiveTo study and analyze the clinical value of 64 slice spiral CT and its combination with myocardial enzyme detection in the diagnosis of acute cardiogenic chest pain.MethodsRandomly selected in 45 cases of acute cardiogenic chest pain patients from 2008 February to March 2011 in our hospital as treatment group, 45 cases were examined as control group, the control group only received MSCTA (64 slice spiral CT angiography) check. The treatment group received the combined with serum myocardial enzyme examination, observe the diagnosis of two groups. Results The treatment group were treated by acute cardiogenic chest pain specificity in diagnosis of MSCTA combined with myocardial enzyme examination (100%), sensitivity (95.56%), they were signiifcantly higher than that of the control group (93.33%), (86.67%), the differences between groups had statistical signiifcance (P<0.05), the MSCTA resolution calciifed atheromatous plaque CT value was (341.65±308.42) HU, non calcified plaque CT value was (59.88±67.93) HU, the difference was significant, with statistical significance (P<0.05).Conclusion64 slice spiral CT and combination with myocardial enzyme examination used in the diagnosis of acute cardiogenic chest pain has good effect and high accuracy.%目的：研究分析64层螺旋CT联合心肌酶检查应用于急性心源性胸痛诊断的临床价值。方法随机选取2008年2月～2011年3月我院收治的45例急性心源性胸痛患者作为治疗组，抽取同期来我院体检中心进行检查的45例健康者作为对照组，对照组单纯给予MSCTA（64层螺旋CT血管成像）进行检查。治疗组在此基础上联合血清心肌酶检查，观察两组患者的诊断情况。结果治疗组患者经MSCTA联合心肌酶检查诊断急性心源性胸痛特异性为100%，敏感性为95.56%，显著高于对照组93.33%、86.67%，组间差异显著，具有统计学意义（P＜0.05）；经MSCTA分辨钙化粥样斑块CT值为（341.65±308.42）HU，非钙化粥样斑块CT值为（59.88±67.93）HU，差异显著，具有统计学意义（P＜0.05）。结论64层螺旋CT联合心肌酶检查应用于诊断急性心源性胸痛效果良好，准确率较高，同时对判断冠状动脉斑块与狭窄性质具有积极的意义。