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计算机断层血管造影术在诊断主动脉瘤中的临床价值研究。

Study on the clinical value of computed tomography angiography in the diagnosis of aortic aneurysm.

机构信息

Department of Radiology, First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Gulou District, Nanjing, 210029, China.

出版信息

J Cardiothorac Surg. 2024 Aug 28;19(1):496. doi: 10.1186/s13019-024-02996-1.

Abstract

BACKGROUND

The aim of this study is to explore the clinical value of computed tomography angiography (CTA) in the diagnosis of aortic aneurysm.

METHODS

The imaging data of 60 patients suspected of having aortic aneurysms who were examined in the Radiology Department of the First Affiliated Hospital of Nanjing Medical University from April 2017 to April 2020 were analyzed retrospectively. CTA and digital subtraction angiography (DSA) were used to examine the patients, and CTA image findings were collected and compared with DSA findings.

RESULTS

There was no significant difference in the accuracy of diagnosing aortic aneurysms (P > 0.05) between DSA [98.33% (59/60)] and CTA [95.00% (57/60)]. There was no significant difference in the diagnosis of image features (e.g., typing, site, form) of aortic aneurysms (P > 0.05).

CONCLUSION

CTA can be used to successfully confirm if patients suffer from an aortic aneurysm; it produces quality images with high specificity, sensitivity, and accuracy and can be promoted in clinical practice.

摘要

背景

本研究旨在探讨计算机断层血管造影(CTA)在诊断主动脉瘤中的临床价值。

方法

回顾性分析 2017 年 4 月至 2020 年 4 月在南京医科大学第一附属医院放射科检查的 60 例疑似主动脉瘤患者的影像学资料。对患者进行 CTA 和数字减影血管造影(DSA)检查,收集 CTA 图像并与 DSA 结果进行比较。

结果

DSA[98.33%(59/60)]和 CTA[95.00%(57/60)]诊断主动脉瘤的准确率差异无统计学意义(P>0.05)。两种方法诊断主动脉瘤的图像特征(如分型、部位、形态)差异无统计学意义(P>0.05)。

结论

CTA 可成功确诊主动脉瘤,图像质量高,特异性、敏感性和准确性均较高,可在临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1f/11351534/54e157d0f023/13019_2024_2996_Fig1_HTML.jpg

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