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99mTc-MIBI心肌灌注断层显像与冠状动脉造影的对比研究
引用本文:赵峰,何丽荣,李娟,刘保军,李经文.99mTc-MIBI心肌灌注断层显像与冠状动脉造影的对比研究[J].宁夏医学杂志,2002,24(11):652-654.
作者姓名:赵峰  何丽荣  李娟  刘保军  李经文
作者单位:宁夏医学院附属医院,宁夏,银川,750004
摘    要:目的 探讨99mTc-甲氧基异丁基异腈 (MIBI)心肌灌注断层显像对冠心病的诊断价值。方法  34例99mTc -MIBI心肌灌注断层显像与冠状动脉造影 (CAG)结果进行对比。结果 99mTc-MIBI心肌灌注断层显像对冠心病诊断的敏感性为 91.7%,特异性为 80 .0 %。对右冠状动脉、左冠状动脉前降支和左冠状动脉回旋支的诊断阳性率分别为 85 .7%、92 .3%和 71.4%,总的阳性预测值为 91.7%,阴性预测值为 80 .0 %。结论 99mTc -MIBI心肌灌注断层显像对冠心病的诊断有较大价值。

关 键 词:断层摄影术  单光子  发射型计算机  冠状血管造影术  冠状动脉心脏病
文章编号:1001-5949(2002)11-0652-03
修稿时间:2002年6月20日

A comparative study of 99mTc-MIBI myocardial perfusion with SPECT imaging with coronary artery angiography
ZHAO Feng,HE Li-rong,LI Juan,et al..A comparative study of 99mTc-MIBI myocardial perfusion with SPECT imaging with coronary artery angiography[J].Ningxia Medical Journal,2002,24(11):652-654.
Authors:ZHAO Feng  HE Li-rong  LI Juan  
Abstract:Objectives To evaluate the diagnostic value of 99m Tc-MIBI myocardial perfusion with SPECT imaging for coronary heart disease.Methods Comparative analysis of 34 patients with coronary heart disease by 99m Tc-MIBI myocardial perfusion withSPECT imaging and coronary artery angiography.Results For the diagnosis of coronary heart disease,The sensitivity and specificity of 99m Tc-MIBI myocordial perfusion with SPECT imaging were 91.7%,80.0%. For the diagnasis of right coronary artery,left coronary anterior descending,left coronary anterior circumflex,The positive rate were 85.7%,92.3%,71.4%.The positive predictive value and the negative predictive value were 91.7%,80.0%.Conclusions 99m Tc-MIBI myocardial perfusion with SPECT imaging could play an important role in the diagnosis of coronary heart disease.
Keywords:Myocordial perfusion with SPECT imaging  Coronary artery angiography  Coronary heart  disease
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