摘要
自１９９０年１２月，我们用国产的９９ｍＴＣ—ＭＩＥＩ和慢跑运动试验对７２例做了心肌断层显像，７２例中有４６例冠心病和２６例非冠心病。全部病人做了运动心肌显像和运动心电图，运动试验是根据Ｐａｐａｇｏｌｏｕ等报道的慢跑运动。４６例冠心病中４４例运动闪烁图上有灌注缺损，２例正常；２６例非冠心病中２２例的闪烁图正常，４例有灌注缺损。因此显像诊断的灵敏度、特异性、阳性预测值和阴性预测值分别为９５．７％８４．６％、９１．７％和９１．７％，表明刚９９ＭＴＣ—ＭＩＢＩ和慢跑运动试验检出冠心病心肌缺血是有独特价值的。
Abstract Since December in 1990, we rave Performed the exercise myocardial tomographic image with 99mTc-MIBI made in China and jogging in place exercise test in 72 patients. 72 patients consist of 46 patients with CAD and 26 patiens without CAD. All patients underwent exercise myocardial images and exercise ECG. Exercise studies performed according to a jogging in place suggested by Papacolou et al. 44 of 46 patients with CAD showed perfusion defects on exercise scintigrams,but 2 Patients were normal. 22 of 26 patients without CAD had normal scintigrams, but 4 patients were abnormal.Sensitivity,specificity ,positive predictive value and negative predictive value of images were 95.7%,84.6%,91.7%and91.7%,respectively,exercise myocardialimages with 99mTC-MIBI and jogging in place test were valuable for detection CAD.
