冠状动脉造影与心肌断层显像诊断冠心病的对比分析  

Comparison of coronan angiography and myocardial perfusion SPECT in the diagnosis of coronary artery disease

作　　者：刘鹤龄[1] 冯彦林[1] 熊华锋 何铭熙[1] 杨希立[1] 李健民[1] 赖玉琼[1] 

机构地区：[1]佛山市第一人民医院心血管内科,528000

出　　处：《广东医学》1999年第3期178-180,共3页Guangdong Medical Journal

摘　　要：目的比较冠状动脉造影（CAG）和单光子发射计算机心肌断层灌注显像（SPECT）在诊断冠心病中的敏感性和特异性。方法105例患者均行CAG和SPECT。结果105例患者最终诊断：冠心病77例，非冠心病28例。77例冠心病中，有76倒核素心肌显像呈阳性，28例非冠心病患者14例核素心肌显像呈阴性。诊断冠心病，SPECT的敏感性为94．8％，特异性为50％。结论CAG与SPECT均阳性者，冠心病可确诊；均阴性者，可予排除；单纯SPECT阳性者，需结合临床综合分析。Objective To compare the efficiency of coronary artery angiogram (CAG) with myocedial perfusion SPECF in the diagnosis of coronary artery disease (CAD) .Methods 105 patients underwent both CAG and SPECT. ResultsThe final diagnsis showed 77 cases of CAD, 28 Cases of non - CAD. Seventy - six of the 77 cases had positive mpocardial SPECT, fourteen of 28 cases noncoronary artery disease had negative myocardial SPECT. Indicating the the sensitivity andspecificity of SPECT in the diagnosis of CAD were 94.8% and 50% respectively. Conclusion Patients with CAG andSPECT both positive can be diagnosed as having CAD definitely and those with both negative can be excluded from CAD; but.those with only positive CAG or only posifive SPECT should be diagnosed carefully.

关 键 词：冠心病 冠状动脉造影 心肌断层显像 SPECT CAG 

分 类 号：R541.404[医药卫生—心血管疾病]