| 冠状动脉内超声显像与造影对冠状动脉病变检出的比较 |
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| 引用本文： | 韩丁,朱文玲.冠状动脉内超声显像与造影对冠状动脉病变检出的比较[J].中华心血管病杂志,1999,27(3):184-186. |
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| 作者姓名： | 韩丁 朱文玲 |
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| 作者单位： | 中国医学科学院中国协和医科大学北京协和医院心内科 |
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| 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。
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| 关 键 词： | 冠状动脉疾病 冠状动脉内超声成像 冠状动脉造影 |
Detecting coronary artery lesions by intracoronary ultrasound and coronary angiography |
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| HAN Ding,ZHU Wenling,HUANG Chaolian,et al Peking Union Medical Collage Hospital,PUMC and CAMS,Beijing.Detecting coronary artery lesions by intracoronary ultrasound and coronary angiography[J].Chinese Journal of Cardiology,1999,27(3):184-186. |
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| Authors: | HAN Ding ZHU Wenling HUANG Chaolian et al Peking Union Medical Collage Hospital PUMC and CAMS Beijing |
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| Institution: | HAN Ding,ZHU Wenling,HUANG Chaolian,et al Peking Union Medical Collage Hospital,PUMC and CAMS,Beijing 100730 |
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| Abstract: | 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 |
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| Keywords: | coronary diseaseintracoronary ultrasoundcoronary angiography |
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