245例冠状动脉造影在冠心病诊断中的价值

为了探讨冠状动脉造影在冠心病诊断中的价值，将245例选择性冠状动脉造形分为心肌梗塞组（101例）、心绞痛组（76例）、不典型心绞痛组（45例）和非冠心病组（23例）进行分析观察，其中224例有满意的左室造影可供分析。结果发现164树冠状动脉造影显示阳性改变，其利心肌梗塞组阳性率96．1%，心绞痛组71．1％，不典型心绞痛组28.9％，非冠心病组无一例阳性．共查出病变冠状动脉血管290支，依次分布于前降支130支、左回旋支80支、右冠状动脉67支、左冠状动脉主干13支．224例在室造影阳性表现为节段运动异常或室壁瘤，心肌梗塞组阳性率86．5％、心绞痛组55．2％、不典型心绞痛组34．1％、非冠心病组5％．结果提示冠状动脉造影仍是显示冠状动脉病变的最直接、有效的方法．

The Worth of Coronary Arteriography of 245 Cases in Diagnose of Coronary Heart Disease

Aim To evaluate the clinical application of coro-uary artetiography (CAG) in diagnosis of coronary heart disease.Methods Selective coronary arteriography by means of multiple angled projecting cine-nuoroscopy was performed in 245 cases. The patients were divided into four groups, A: 101 mycardial infarction, B: 76 angina pectoris, C: 25 atypical angina pectoris, D: 24 non-coronary heart disease. 224 left cardioventricu lography can be reviewerl satisfactorilv in them. Results 164 CAG cases were abnormal. In group A the positive rate was 96. 1 %, and B 71. 1%,C 28. 9% respetively. In group D. no coronary le-sions can be found. 290 coronary artery branches were steootic. Among them 130 are in LAD. 80 LCX, 67 RCA, 13 LMCA successively. Pathologic manifesta-tions in left ventriculography are segrmental functional disorder or aneurysm of the left ventricular wall. The Positive rate in group A is 86. 5K, B 55. 2%, C 34-1 %, D 5% respectively.Conclusion CAG is still direct, more effcient ma-neuver to probe coronary heart disease.