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我们对38例(男21例,女17例)住院患者(冠心病19例、可疑冠心病12例,对照组7例)行ATP试验(ATPT),其中部分病例做了运动+静息+99锝心肌核索显像(SPECT)检查做对比。结果38例中16例ATPT阳性,总阳性率42.2%。其中冠心病19例中12例阳性,阳性率为63.16%;可疑冠心病组12例中4例阳性,其阳性率为33.3%;对照组7例中无1例阳性。ATPT与SPECT诊断冠心病的特异性前者为93.75,后者为100%;敏感性前者为69.6%,后者为93.3%。ATPT与SPECT符合率为冠心病组72.7%,可疑冠心病组66.7%,对照组为100%。且ATPT作用轻、价廉、简便易行,用于缺血性心脏病的诊断具有一定的临床价值。
We performed ATP test (ATPT) in 38 patients (21 males and 17 females) (coronary heart disease in 19, suspicious coronary heart disease in 12 and control group in 7), and some of them performed exercise + rest +99 Technetium myocardial imaging (SPECT) check for comparison. Results Of 38 cases, 16 cases of ATPT positive, the total positive rate was 42.2%. Among them, 12 cases of coronary heart disease were positive in 12 of 19 cases, and the positive rate was 63.16%. In 4 cases of suspicious coronary heart disease group, 4 cases were positive, the positive rate was 33.3%. No one of 7 cases in control group was positive. The specificity of ATPT and SPECT for the diagnosis of coronary heart disease was 93.75 for the former and 100% for the latter, while the sensitivity was 69.6% for the former and 93.3% for the latter. The coincidence rates of ATPT and SPECT were 72.7% in CHD group, 66.7% in CHD group and 100% in control group. And the role of ATPT light, inexpensive, easy to use, for the diagnosis of ischemic heart disease has some clinical value.