冠状动脉造影诊断冠心病的价值探讨

目的：研究冠状动脉造影在冠心病诊断中的临床应用价值。方法选取临床拟诊的冠心病患者108例为研究对象，所有患者均经静息心电图、动态心电图、超声心动图及冠状动脉造影检查，并结合相关文献，研究冠心病诊断“金标准”-冠状动脉造影的应用价值。结果108例受检者，冠状动脉造影诊断冠心病74例，阳性检出率68．5％；静息心电图、动态心电图及超声心动图与冠状动脉造影检查结果差异均有统计学意义（χ2＝84．43、6．37、163．55，均P＜0．05）。单支病变中19例冠状动脉造影未见明显狭窄（狭窄＜50％）或正常，而根据超声心动图、心电图表现及家族史或高血压等高危因素，临床作出了冠心病的诊断。结论冠状动脉造影作为冠心病诊断最重要的微创手段，与其他无创检查方法相比，对冠心病的检出率及准确性高，并可明确冠状动脉病变位置、范围，宜作为冠心病诊断的常规方法。

The value of coronary angiography in the diagnosis of coronary heart disease

Objective To investigate the value of coronary angiography in the diagnosis of coronary heart disease in clinical applications .Methods In our hospital from June 2011 to June 2013,between the clinical manifes-tations of 108 cases diagnosed coronary heart disease patients in this study .All patients were resting ECG ,Holter mo-nitoring,echocardiography and coronary angiography inspection ,combined with relevant literature,research coronary artery disease ＆quot;gold standard＆quot;-coronary angiography application value .Results 108 cases of subjects ,coronary angi-ography in the diagnosis of coronary heart disease in 74 cases,the positive rate of 68.5%;resting ECG,Holter monito-ring and echocardiography compared with coronary angiography were significantly different （χ2 =84.43, 6.37, 163.55,all P ＆lt;0.05 ）.Single-vessel disease in 19 cases no significant coronary stenosis （ stenosis ＆lt;50%）＆amp;nbsp;or normal,according to echocardiography ,ECG,and family history of or risk factors such as hypertension ,coronary heart disease in clinical diagnosis made .Conclusion Coronary angiography of coronary heart disease diagnosis can be used as the most important means of minimally invasive and non-invasive examination methods ,which has high de-tection rate of coronary heart disease and significantly improved accuracy ,and clear coronary lesion location ,extent.So it should be used as crown heart disease diagnosis conventional methods .