摘要
目的评价冠状动脉造影在心绞痛诊断中的价值。方法选取临床诊断为心绞痛患者219例,分成两组:稳定型心绞痛组和不稳定型心绞痛组,并首次行冠状动脉造影,将临床诊断和冠状动脉造影结果进行对比分析。结果冠状动脉造影总的阳性率为58.90%,各组冠脉造影结果阳性率(与临床诊断相符合率)分别为稳定型心绞痛组56.52%,不稳定型心绞痛组60.00%,两组间阳性率相差不大。稳定型心绞痛组单支与多支病变相差不大,不稳定型心绞痛组则以单支病变为主。结论冠状动脉造影在心绞痛诊断方面有其无法取代的地位,但也存在一些局限性,应用我们的经验和新技术去弥补冠状动脉造影在心绞痛诊断中的局限性。
Objective To evaluate the value of coronary arteriongraphy （CAG） in diagnosing angina. Methods 219 patients with angina in clinical analysis were selected and divided into 2 groups ： the stable angina （SA） group and unstable angina （UA） group. They all were accepted CAG first time. Then analysis were carried out between clinical diagnosis and results of CAG. Results The total positive rate of CAG in diagnosing angina is 58.90% . The positive rate of SA group（56.52% ） shows no significant difference with that of UA group（60.00% ）. Single vessel lesion and multiple vessels lesion of SA group have little dlfference,however,the main coronary artery lesions of UA group is single vessel. Conclusions CAG is extremely important in diagnosing angina, but it has its own limit. Experience and new technique should be applied to retrieve locatization of CAG.
出处
《医学研究杂志》
2008年第2期77-79,共3页
Journal of Medical Research
关键词
冠状动脉造影
心绞痛
冠脉病变
Coronary arteriongraphy （CAG）
Angina
Coronary artery lesion
