334例选择性冠状动脉造影分析

目的:探讨冠心病病人冠状动脉病变范围、程度、评估冠脉造影价值及其局限性。方法:用Judkins法行选择性左、右冠脉造影334例,观察并记录冠脉病变范围和程度。结果:334例冠脉造影有病理性改变212例(63.4%),其中单支病变97例(45.7%),双支病变66例(31.1%)三支病变45例(21.2%),四支病变4例(1.9%)。共累及417支血管,分别为前降支207支(49.6%),右冠119支(28.5%),回旋支85支(20.3%)左主干6支(1.4%)。心肌梗塞组(A组)阳性率88.9%,心绞痛组(B组)80%,胸痛组(C组)11.7%。结论:选择性冠状动脉造影仍然是诊断冠心病的金标准,它具有其他无创性检查无法替代的作用。

Investigation of Selective Coronary artery anglography in 334 Cases

Objective:To evaluate the diagnostic value of selective coronaly with Judkins method artery angiography.Methods:The selective coronary angiography were performed in 334 patients. Results:The abnormalties of coronary arteries were demonstrated in 212 of 334 patients,including one branch of coronary artery involved in 97 patients(45.7%),two branchcs in 66(31.1%),three branchcs in 45(21.2%),four branches in 4(1.9%).There were total 417 branches of coronal arteries involved,they were anterior descending coronary arteries(207 branches,49.6%),right coronal arteries(119 branches,28.5%),circumflex coronary arteries(85 branches,20.3%),left main coronary arteries(6 branches 1.4%).The lesions of coronary artery were found in 88.9% of patients with infarct,80% of patients with angina,11.7% of patients with chest pain.Conclusion:The selective coronary artery angiography is still gold standard for the diagnosis of coronary artery disease.