| 冠状动脉造影与心肌断层显像诊断冠心病的对比分析 |
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| 引用本文： | 刘鹤龄,冯彦林,熊华锋.冠状动脉造影与心肌断层显像诊断冠心病的对比分析[J].广东医学,1999,0(3):178-180. |
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| 作者姓名： | 刘鹤龄 冯彦林 熊华锋 |
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| 作者单位： | 佛山市第一人民医院心血管内科!528000 |
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| 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例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％，特异笥为５０％。结论 ＣＡＧ与ＳＰＥＣＴ均阳性者，冠心病
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| 关 键 词： | 冠心病 冠状动脉造影 心肌断层显像 SPECT CAG |
Comparison of coronan angiography and myocardial perfusion SPECT in the diagnosis of coronary artery disease |
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| Liu Heling, Feng Yanlin, Xiong Huafeng ,et al..Comparison of coronan angiography and myocardial perfusion SPECT in the diagnosis of coronary artery disease[J].Guangdong Medical Journal,1999,0(3):178-180. |
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| Authors: | Liu Heling Feng Yanlin Xiong Huafeng |
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| Institution: | Liu Heling, Feng Yanlin, Xiong Huafeng , et al. |
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| Abstract: | 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. |
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| Keywords: | Coronary angiography Single photon emission computed tomography Coronary artery disease |
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