中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
z1期
8-9
,共2页
石亚君%王浩%邵鹏%秦浩%卢喜烈%荆晶%文冬凌%赵立朝
石亞君%王浩%邵鵬%秦浩%盧喜烈%荊晶%文鼕凌%趙立朝
석아군%왕호%소붕%진호%로희렬%형정%문동릉%조립조
平板运动试验%冠状动脉造影%冠状动脉CT成像
平闆運動試驗%冠狀動脈造影%冠狀動脈CT成像
평판운동시험%관상동맥조영%관상동맥CT성상
Treadmill exercise test%Coronary artery angiography%Coronary artery CT angiography
目的 探讨平板运动试验(TET)可疑阳性患者的冠状动脉造影(CAG)结果的特点.方法 2006年1月至2007年12月因胸痛住院的36例患者在人院行TET后均诊断为可疑阳性,同时在2周内行CAG检查和冠状动脉CT成像(CTA),并将斑块分为非钙化和钙化斑块.结果 36例患者中,23例经CAG证实为冠心病(阳性),13例冠状动脉无病变(阴性).23例冠心病患者中单支病变9例,双支病变5例,三支病变9例.23例TET可疑阳性冠心病患者CTA共检测52个斑块,其中非钙化斑块29个,钙化斑块23个.结论 TET在冠心病的诊断中因其方法简单、经济、无创,目前仍不失为一项重要检查方法.同时冠心病患者的斑块性质与TET可疑阳性具有相关性.
目的 探討平闆運動試驗(TET)可疑暘性患者的冠狀動脈造影(CAG)結果的特點.方法 2006年1月至2007年12月因胸痛住院的36例患者在人院行TET後均診斷為可疑暘性,同時在2週內行CAG檢查和冠狀動脈CT成像(CTA),併將斑塊分為非鈣化和鈣化斑塊.結果 36例患者中,23例經CAG證實為冠心病(暘性),13例冠狀動脈無病變(陰性).23例冠心病患者中單支病變9例,雙支病變5例,三支病變9例.23例TET可疑暘性冠心病患者CTA共檢測52箇斑塊,其中非鈣化斑塊29箇,鈣化斑塊23箇.結論 TET在冠心病的診斷中因其方法簡單、經濟、無創,目前仍不失為一項重要檢查方法.同時冠心病患者的斑塊性質與TET可疑暘性具有相關性.
목적 탐토평판운동시험(TET)가의양성환자적관상동맥조영(CAG)결과적특점.방법 2006년1월지2007년12월인흉통주원적36례환자재인원행TET후균진단위가의양성,동시재2주내행CAG검사화관상동맥CT성상(CTA),병장반괴분위비개화화개화반괴.결과 36례환자중,23례경CAG증실위관심병(양성),13례관상동맥무병변(음성).23례관심병환자중단지병변9례,쌍지병변5례,삼지병변9례.23례TET가의양성관심병환자CTA공검측52개반괴,기중비개화반괴29개,개화반괴23개.결론 TET재관심병적진단중인기방법간단、경제、무창,목전잉불실위일항중요검사방법.동시관심병환자적반괴성질여TET가의양성구유상관성.
Objective To investigate the clinical characteristics of the results of coronary artery CT angiography and coronary artery angiography in 36 patients with probable positive results of treadmill exercise test(TET).Methods Thirty-six patients due to chest pain received 1ET and coronary artery CT angiography and coronary artery angiography in 2 weeks after admission.The coronary plaques were categorized as noncalcified and calcified plaque on CTA images.Results In 36 patients with probable positive results of TET.23 patients were confirmed as coronary artery disease by coronary artery angiography,and the other 13patients had normal coronary artery.Of 23 coronary artery disease patients,9 patients were presented as onevessel disease,5 patients were presented as two-vessel disease,and 9 patients were presented as three-vessel disease,29 non-calcified plaques and 23 calcified plaques were demeted On CTA.Conclusion TET was useful in confirming the diagnosis of coronary artery disease.The characteristics of the coronary artery plaque is correlated with probable positive results of TET.