摘要
为比较冠状动脉造影和９９ｍＴｃ－ＭＩＢＩ心肌灌注断层显像在诊断冠心病中的作用。１１６例患者均行冠状动造影和９９ｍＴｃ－ＭＩＢＩ心肌灌注断层显像。最终诊断：冠心病９１例，其他心脏病１５例，无器质性心脏病者１０例。９１例冠心病中，有９０例核素心肌显像呈阳性，１０例无器质性心脏病患者９例核素心肌显像呈阴性。提示：对于诊断冠心病，心肌灌注单光子发射计算机断层显像（ＳＰＥＣＴ）的敏感性和特异性分别为９９％和９０％。冠状动脉造影与心肌ＳＰＥＣＴ均阳性者，冠心病确诊无疑；均阴性者，可予排除；单纯冠状动脉造影阳性或ＳＰＥＣＴ阳性者。
Wecomparedtheeficiencyofcoronaryarteryangiogram(CAG)with99mTc-MIBImyocardialperfusionSPECTinthediagnosisofcoronaryarterydisease(CAD).OnehundredandsixteenpatientsunderwentbothCAGand99mTc-MIBImyocardialperfusionSPECT.Thefinaldi-agnosisshowed91casesofCAD,15casesofotherheartdiseaseand10caseswithoutorganicheartproblems.Ninetyofthe91caseshadpositivemyocardialSPECT,and9ofthe10caseswithoutor-ganicheartproblemhadnegativemyocardialSPECT,indicatingthatthesensitivityandspecificityofSPECTinthediagnosisofCADwere99%and90%respectively.PatientswithCAGandmyocardialSPECTbothpositivecanbediagnosedashavingCADdefinitelyandthosewithbothnegativecanbeexcludedfromCAD;butthosewithonlypositiveCAGoronlypositiveSPECTshouldbediagnosedcarefuly.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1996年第6期438-440,共3页
Chinese Journal of Cardiology
关键词
冠状血管造影术
冠心病
^99MTC
coronaryangiographyradionuclideimagingcoronaryarterydisease
