99mTc-异腈类心肌灌注显像对透壁及非透壁心肌梗塞的诊断评价

首都医科大学学报 ›› 1993, Vol. 14 ›› Issue (3): 200-203.

^99mTc-异腈类心肌灌注显像对透壁及非透壁心肌梗塞的诊断评价

郑柏洁, 张金谷, 王铁, 武秀朵

首都医学院附属北京红十字朝阳医院核医学科

收稿日期:1992-02-17 修回日期:1900-01-01 出版日期:1993-07-15 发布日期:1993-07-15

The Chinical Study Using ^99mTc-MIBI Myocardial Imaging on Transmural And Non-transmural Myocardial Infarction

Zheng Baijie, Zhang Jingu, Wang Tie, Wu Xiuduo

Beijing Red Cross Chaoyang Hospital, Capital Institute of Medicine

Received:1992-02-17 Revised:1900-01-01 Online:1993-07-15 Published:1993-07-15

摘要/Abstract

摘要：

用^99mTc-异腈类心肌灌注显像剂对97例透壁性心肌梗塞和10例非透壁性心肌梗塞行心肌断层显像并与心电图对照,结果表明:心肌断层显像对透壁性心肌梗塞定位诊断的检出段数高于心电图,前者167个,后者143个.透壁性心肌梗塞97例心肌断层显像显示放射性缺损区84例,放射性稀疏区13例;非透壁性心肌梗塞10例,显示放射性稀疏区5例,可疑稀疏区4例,正常1例。以放射性缺损区存在为诊断标准,透壁性心肌梗塞检出率为86.6%,非透壁性心肌梗塞检出率为0。

关键词: 心肌梗塞, 放射性核素断层摄影术, 诊断应用

Abstract:

97 cases of transmural myocardial infarction(MI)and 10 cases of non-transmural MI were studied by radionuclide SPECT myocardial imaging using ^99mTc-CPI or MIBI and com-pared with the results of EKG.Our study showed that the amount of abnormal segments was 167 and 143 in SPECT myocardial imaging and EKG respectively in transmural MI,so the detecting ability of SPECT was higher.In the 97 cases of transmural MI,84 cases showed significantly abnormal using SPECT,13 cases showed abnormal.In the 10 cases of non-transmural MI,5 cases showed abnormal,4 cases suspicious abnormal and 1 cases was normal.If the significant abnormal manifestation was used as the diagnostic criterion,the de-tectable rate using SPECT for transmural MI was 86.6%,and 0 for non-transmural MI 0.

Key words: myocardial infarction, radionuclide tomography computed, diagnostic method

中图分类号:

R445

郑柏洁;张金谷;王铁;武秀朵. ^99mTc-异腈类心肌灌注显像对透壁及非透壁心肌梗塞的诊断评价[J]. 首都医科大学学报, 1993, 14(3): 200-203.

Zheng Baijie;Zhang Jingu;Wang Tie;Wu Xiuduo. The Chinical Study Using ^99mTc-MIBI Myocardial Imaging on Transmural And Non-transmural Myocardial Infarction[J]. Journal of Capital Medical University, 1993, 14(3): 200-203.

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