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目的评估高血压病胸痛患者核素心肌灌注显像临床诊断中的价值。方法对27例高血压病胸痛患者进行99m锝-甲氧基异丁基异晴(99mTc-MIBI)心肌灌注显像、心电图检查及冠状动脉造影。结果心肌灌注显像、心电图及冠状动脉造影对高血压病胸痛患者的检查的阳性率分别为66.7%、59.2%、0%。心肌灌注显像、心电图检查两者阳性率间差异无统计学意义(P>0.05)。结论 99mTc-MIBI心肌灌注显像对高血压诊断、治疗和预后判断是一种安全、无创伤、方便的检查方法。
Objective To evaluate the clinical value of radionuclide myocardial perfusion imaging in patients with hypertensive chest pain. Methods Twenty-seven patients with hypertensive chest pain were subjected to 99m Tc-MIBI myocardial perfusion imaging, electrocardiogram and coronary angiography. Results The positive rates of myocardial perfusion imaging, electrocardiogram and coronary angiography were 66.7%, 59.2% and 0% respectively in patients with chest pain of hypertensive disease. Myocardial perfusion imaging and electrocardiogram showed no significant difference between the two (P> 0.05). Conclusion 99mTc-MIBI myocardial perfusion imaging is a safe, non-invasive and convenient method for the diagnosis, treatment and prognosis of hypertension.