摘要
目的：探讨99mTc-MIBI心肌灌注显像对冠心病的临床诊断价值。方法：128例住院患者，男76例，女52例。年龄30～85（56.5±12.5）岁。同时进行99mTc-MIBI心肌灌注显像与冠状动脉造影（CAG）检查，将结果进行相关性分析。对上述患者预后进行了抽样临床随访。结果：99mTc-MIBI心肌灌注显像与CAG均阳性65例，99mTc-MIBI心肌灌注显像阳性、CAG阴性32例，99mTc-MIBI心肌灌注显像阴性、CAG阳性22例，99mTc-MIBI心肌灌注显像与CAG均阴性9例。一种检查阳性和99mTc-MIBI心肌灌注显像与CAG均阴性预后良好。99mTc-MIBI心肌灌注显像与CAG均阳性，CAG证实主要冠状动脉狭窄≥75％预后较差。结论：99mTc-MIBI心肌灌注显像与CAG相辅相成，对冠心病患者的诊断、指导治疗决策和判断预后有重要临床意义。
Abstract
Objective: To evaluate the clinical value of 99mTc-MIBI nuclide myocardial perfusion imaging on the diagnosis of coronary artery disease. Methods: In 128 hospitalized cases involved 76 males and 52 females, aged ranged from 30~85(56.5±12.5)years. The cases were checked by 99mTc-MIBI nuclide myocardial perfusion imaging and CAG. All data were analysed. Part of the patients were followed-up. Results: Sixty-five cases had positive 99mTc-MIBI nuclide myocardial perfusion imaging and CAG. Thirty-two cases had positive 99mTc-MIBI nuclide myocardial perfusion imaging and negative CAG. Twenty-two cases had negative 99mTc-MIBI nuclide myocardial perfusion imaging and positive CAG. Nine cases had negative 99mTc-MIBI nuclide myocardial perfusion imaging and CAG. One positive checking patients and both negative results had good prognosis. Both positive results had bad prognosis. Conclusion: 99mTc-MIBI nuclide myocardial perfusion imaging and CAG supplement each other, which plays an important role in diagnosis, directing treatment and juding prognosis of coronary artery disease.
关键词
冠状动脉疾病 /
放射性核素显像 /
冠状血管造影术
Key words
coronary disease /
radionuclide imaging /
coronary angiography
贾 鹏;郭万华;许守林;冯雪凤.
99mTc-MIBI心肌灌注显像与冠状动脉造影诊断冠心病的对比分析[J]. 中国临床医学影像杂志. 2007, 18(3): 164-166
JIA Peng;GUO Wan-hua;XU Shou-lin;FENG Xue-feng.
Correlative analysis of 99mTc-MIBI nuclide myocardial perfusion imaging and coronary artery angiography[J]. Journal of China Clinic Medical Imaging. 2007, 18(3): 164-166
中图分类号：
Ｒ541.4
Ｒ817.4
Ｒ816.2
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