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目的:探讨冠心病病人冠状动脉病变范围、程度、评估冠脉造影价值及其局限性。方法:用Judkins法行选择性左、右冠脉造影334例,观察并记录冠脉病变范围和程度。结果:334例冠脉造影有病理性改变212例(63.4%),其中单支病变97例(45.7%),双支病变66例(31.1%)三支病变45例(21.2%),四支病变4例(1.9%)。共累及417支血管,分别为前降支207支(49.6%),右冠119支(28.5%),回旋支85支(20.3%)左主干6支(1.4%)。心肌梗塞组(A组)阳性率88.9%,心绞痛组(B组)80%,胸痛组(C组)11.7%。结论:选择性冠状动脉造影仍然是诊断冠心病的金标准,它具有其他无创性检查无法替代的作用。
Objective: To investigate the extent and extent of coronary lesions in patients with coronary heart disease and to evaluate the value of coronary angiography and its limitations. Methods: Judkins method of selective left and right coronary angiography in 334 cases, observe and record the extent and extent of coronary lesions. Results: There were 212 cases (63.4%) with pathological changes in 334 cases of coronary angiography, including 97 cases (45.7%) with single vessel disease, 45 cases (21.2%) with three vessel disease in 66 cases (31.1% Lesions in 4 cases (1.9%). A total of 417 vessels were involved, including 207 anterior descending branches (49.6%), 119 right coronary crowns (28.5%) and 85 (20.3%) left circumflex branches (6.3%). The positive rate of myocardial infarction group (A group) was 88.9%, angina pectoris group (B group) 80%, chest pain group (C group) 11.7%. Conclusions: Selective coronary angiography is still the gold standard for the diagnosis of coronary heart disease. It has the irreplaceable role of other noninvasive tests.