冠状动脉内支架植入术疗效的评估  

The study of value of coronary stenting evaluating with exercise testing and nuclein myocardial imaging

作　　者：刘健[1] 汤亚明[1] 李佐才[1] 

机构地区：[1]昆明医学院第一附属医院心内科,昆明市650032

出　　处：《心血管康复医学杂志》1999年第3期17-19,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探讨冠状动脉内支架植入后病人进行运动员荷试验及核素心肌断层显像的价值。方法 :10例冠状动脉内支架植入病人进行活动平板运动试验 ,4例病人同时行核素心肌断层显像。结果 :示运动试验阳性 4例 ,运动耐量增加 ,核素心肌断层显像示 :1例心肌下后壁放射性缺损、 2例心肌放射性稀疏、 1例正常。结论 :对于冠状动脉内支架植入术后病人进行运动负荷试验可了解患者的心肌血流灌注状况 ,核素心肌显像能准确提供心肌缺血的范围和程度 ,可预测血管的再狭窄。Objective:To study the value of coronary stenting evaluating with exercise testing and nuclein myocardial imaging.Methods:Ten patients implanted with coronary stent performed treadmill exercise testing.Among which at the same time 4 patients performed nuclein myocardial imaging.Results:The exercise capacity of patients increased,4 patients were of positive result in exercise testing.One patient was radioactivity defect and two patients were radioactivity rarefaction in nuclein myocardial imaging.Conclusion:Exercise testing may explore myocardial blood perfusion,nuclein myocardial imaging may accurately explore range and extent of myocardial ischemia and predicate coronary restenosis for patients with coronary stenting.

关 键 词：冠状动脉内支架植入术 心肌断层显像 疗效 运动耐量 心肌血流灌注 活动平板运动试验 心肌显像 运动负荷试验 缺损 

分 类 号：R654.2[医药卫生—外科学] R542[医药卫生—临床医学]