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| 运动~(99m)锝—异睛心肌断层显象对冠心病诊断的评价 | |
| 引用本文： | 陈佩贞,李昭骥,林伟,魏学立. 运动~(99m)锝—异睛心肌断层显象对冠心病诊断的评价[J]. 广州医学院学报, 1992, 0(2) |
| 作者姓名： | 陈佩贞 李昭骥 林伟 魏学立 |
| 作者单位： | 广州医学院第二附属医院心血管内科，广州医学院第二附属医院心血管内科，广州医学院第二附属医院核医学科，广州医学院第二附属医院核医学科 |
| 摘 要： | 本文对100例冠心病病人和10例正常人进行运动和静息~(99m)锝—异睛(~(99m)TC—MIBI)心肌断层显象,即靶心显示。结果表明其诊断冠心病灵敏度为91％,特异性90％。病变室壁节段检出数比ECG更准确和灵敏,尤其对后壁、后侧壁及心尖部的梗塞定位诊断优于心电图。其与冠状动脉造影结果符合率高。显象检出的病变室壁节段数与CK—Mb值呈正相关(r=0.5946,P<0.001)。可作为无创伤性诊断冠心病的一种可靠检查方法。 |
| 关 键 词： | ~(99m)锝—异睛心肌断层显象 冠心病 |
Evaluation of Stress Technetium-~(99m)MIBI Myocardial Tomography for Diagnosis of Coronary Heart Disease |
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| Chen Peizhen. Evaluation of Stress Technetium-~(99m)MIBI Myocardial Tomography for Diagnosis of Coronary Heart Disease[J]. Academic Journal of Guangzhou Medical College, 1992, 0(2) | |
| Authors: | Chen Peizhen |
| Affiliation: | Chen Peizhen Department of Internal Medicine,Second Affiliated Hospital |
| Abstract: | Stress technetium -99m MIBI(~(99m)TC -MIBI)myocardial tomograhy (bullseye) was evaluated in 100 patients with coronary heart disease (CHD) and 10 normals during exercise and rest. The results showed a high sensitivity (91%) and specificity (90%) for detecting CHD. Bullseye was more sensitive and accurate in detecting damaged ventricular segments than ECG, especially for posterior, lateroposterior and apex. There was a high coincidence rate in detecting CHD by bullseye and by angiography. The number of damaged ventricular segments found by bullseye positive correlation to Ck-MB concentration (r=0. 5964, P<0. 001). Bullseye was an accurate non-invasive method for the diagnosis of CHD. |
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