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| 201铊心肌显像对冠状动脉病变估测的探讨 | |
| 引用本文： | 王振芳,岳金利,林淑英.201铊心肌显像对冠状动脉病变估测的探讨[J].中国厂矿医学,2003,16(4):266-267. |
| 作者姓名： | 王振芳 岳金利 林淑英 |
| 作者单位： | 1. 青岛港口医院,青岛市,266034 2. 山东淄博第一医院,淄博市,255200 3. 上海第二医科大学附属瑞金医院,上海市,200025 |
| 摘 要： | 目的：探讨^201铊心肌平面显像低灌注节段对冠状动脉病变的估测。方法：对56例有或疑有冠心病、心绞痛的患者做冠状动脉造影和^201铊运动心肌平面显像。结果：显像节段室间隔、前壁与左冠状动脉前降支(LAD)，后侧壁与左冠状动脉回旋支(LCX)。下壁与右冠状动脉(RCA)之间显著相关。LAD病变敏感性和特异性高；而LCX与RCA敏感性较高，特异性差。假阳性高。结论：^201铊心肌平面显像能间接反映冠状动脉的血流状况，可作为诊断冠脉疾病的有效手段。 |
| 关 键 词： | ^201铊 心肌灌注显像 冠状动脉病变 冠心病 诊断 冠状动脉造影 |
| 文章编号： | 1004-7956(2003)04-0266-02 |
Assessment of Coronary Artery Disease with 201 Thallium Planar Myocardial Perfusion imaging |
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| Wang Zhenfang.Qingdao Port Hospital,Qingdao Yue Jinli.Zibo First Hospital of Shandong Province,Zibo Lin Shuying.Assessment of Coronary Artery Disease with 201 Thallium Planar Myocardial Perfusion imaging[J].Chinese Medicine of Factory and Mine,2003,16(4):266-267. | |
| Authors: | Wang ZhenfangQingdao Port Hospital Qingdao Yue JinliZibo First Hospital of Shandong Province Zibo Lin Shuying |
| Institution: | Wang Zhenfang.Qingdao Port Hospital,Qingdao 266034 Yue Jinli.Zibo First Hospital of Shandong Province,Zibo 255200 Lin Shuying.Ruijin Hospital Affiliated to Shanghai Second Medical University,Shanghai 200025 |
| Abstract: | Objective:To explore the value of underperfused region with 201 thallium planar myocardial perfusion imaging in detection of coronary artery disease.Methods:fifty-six patients with known or suspected coronary angiography and 201 thallium stress planar myocardial perfusion imaging simultaneously.Results:The regional defects of interseptal/anterior,posterolateral,and inferior wall markedly related to left anterior descending coronary artery(LAD),left circumflex artery(LCX),and right coronary artery(RCA)lesions respectively.The detection of LAD lesion achieved high sensitivity and specificity,while those of LCX and RCA were of relatively high sensitivity,low specificity and high false positive.Conclusion:This study suggests that 201 thallium planar myocardial perfusion imaging may indirectly reflect the blood flow condition of coronary artery and may be an effective diagnostic means of coronary artery disease. |
| Keywords: | Thallium Myocardial perfusion imaging Coronary artery disease |
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