摘要
目的探讨潘生丁药物负荷试验替代运动试验进行核素心肌断层显像的临床价值。方法受检者共50例,冠心病(CHD)组30例,对照组20例,均先行静息心肌断层显像,48h后再行潘生丁介入试验心肌断层显像。结果CHD组29例潘生丁药物负荷试验呈阳性,1例因潘生丁副作用而停止试验;对照组4例潘生丁药物负荷试验呈阳性。潘生丁介入心肌断层显像诊断冠心病的特异性80%(16/20),灵敏度96.7%(29/30)。结论潘生丁负荷试验核素心肌断层显像是一种安全、有效诊断冠心病的方法。
Objective To discuss the method and the clinical value of dipyridamole stress test as a substitute for exercise test in ^(99m)Tc-MIBI myocardial perfusion imaging in coronary heart disease(CHD).Methods The resting tomography imaging of myocaidial was performed in 50 patients (30 patients with coronary heart disease,20 cases in control group),then the dipyridamole perfusion imaging was performed after 48 h.Results Tweenty nine of the 30 patients with CHD showed positive in dipyridamole ^(99m)Tc-MIBI myocardial perfusion imaging,and 16 of the 20 patients withont CHD showed normal images.Only one in the studies was discontinued due to dipyridamole side effect.The sensitivity of this test was 96.7%(29/30) and the specificity 80%(16/20).Conclusion Dipyridamole myocardial perfusion imaging is a safe and sensitive method in diagnosis of CHD.
出处
《新乡医学院学报》
CAS
2005年第3期256-257,共2页
Journal of Xinxiang Medical University
