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作 者:韩丁[1] 朱文玲[1] 黄超联[1] 沈珠军[1] 倪超[1] 张德利[1] 姜秀春[1] 李燕华[1]
机构地区:[1]中国医学科学院中国协和医科大学北京协和医院心内科
出 处:《中华心血管病杂志》1999年第3期184-186,共3页Chinese Journal of Cardiology
基 金:国家教委博士点资金
摘 要:目的研究冠状动脉造影(CAG)正常者的冠状动脉内超声显像(ICUS)检查结果,结合临床表现及辅助检查,藉以提出ICUS检查的适应证。方法对连续400例临床待诊或确诊为冠心病的患者行CAG同时行ICUS检查。结果400例患者中,135例CAG正常者,而ICUS检查示:28例正常,38例冠状动脉内膜增厚,69例有不同性质的斑块。分组分析,斑块组与非斑块组之间的冠心病高危因素比较,差异有显著性(P<005)。结论表明ICUS对冠状动脉病变的检出较CAG敏感,认为CAG检查结果正常者,若临床上心绞痛症状典型、年龄较大、血脂较高、吸烟及心电图有异常改变者,尤其是男性患者宜进一步行ICUS检查。Objective To compare the detection of coronary artery lesions by intracoronary ultrasound (ICUS) and coronary angiography (CAG) Methods Four hundred consecutive patients who were suspected or diagnosed as coronary heart disease (CHD) underwent both CAG and ICUS examination Results Among them, normal CAG results were found in 135 patients, whose ICUS showed normal in 28 patients, intimal thickness in 38, various types of plaque in 69 Significant difference (P<005) was found in high risk factors between patients with and without plaques Conclusion ICUS is more sensitive than CAG for detecting coronary artery lesions ICUS examination is indicated in patients with normal CAG
分 类 号:R541.404[医药卫生—心血管疾病]
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