| 岳明纲,高伯山,陈步星,王玉.99m Tc-MIBI 心肌显像定量分析用于判定急性心梗溶栓术后存活心肌的价值[J].中国医学影像技术,2000,16(12):1057~1058 |
| 99m Tc-MIBI 心肌显像定量分析用于判定急性心梗溶栓术后存活心肌的价值 |
| The Value of Viable Myocardium by Dinitrate Quantitative 99m Tc-MIBI SPECT Imaging af ter Thrombolytic Therapy in Patients with Acute Myocardial Infarction |
| 投稿时间：2000-03-25 |
| DOI： |
| 中文关键词: 急性心肌梗塞 溶栓治疗 硝酸异山梨酯(异舒吉) 99mTc-MIBI 心肌 |
| 英文关键词:Acute myocardial infarction Thrombolytic therapy Isosorbide dinitrate ( Isoket ) 99m Tc-MIBI myocardial perfusion tomography imaging |
| 基金项目: |
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| 摘要点击次数: 1968 |
| 全文下载次数: 65 |
| 中文摘要: |
| 目的采用硝酸酯类药物介入心肌断层显像,研究急性心梗病人溶栓术后存活心肌的范围。方法将
32 例接受急性溶栓术的病人分成溶栓再通组(19 例) 和未再通组(13 例) ,10 天后行异舒吉介入的心肌断层显像,并
分别计算出静态的及异舒吉介入的心肌缺损面积( %) 和体积( %) ,得出存活心肌的面积( %) 和体积( %) 。结果
溶栓再通组和未再通组比较:静态显像缺损面积( %) 为:32.04 ±17.95 和52.13 ±22.99 ( P < 0. 05) ,异舒吉介入显
像缺损面积( %) 为:26.62 ±15.13 和51.93 ±21.10 ( P < 0. 05) ,存活心肌面积( %) 9.45 ±6.43 和2.75 ±3.57 ( P <
0105) 。静态显像缺损体积( %) 为:28.45 ±12.79 和39.56 ±11.89 ( P < 0. 05) ,异舒吉介入显像缺损体积( %) 为:
18.61 ±16.52 和36.94 ±11.35 ( P < 0. 05) ,存活心肌体积( %) 为:9.84 ±2.39 和2.62 ±1.45 ( P < 0. 05) 。结论急
性心肌梗塞溶栓再通是否成功与存活心肌的面积、体积有明显的关系,并且异舒吉介入心肌显像定量分析方法判断
存活心肌的范围有一定临床价值。 |
| 英文摘要: |
| Objective To study the range of viable myocardium after thrombolytic therapy in patients with AMI , by myocardial perfusion tomography imaging with perfusion of isosorbide dinitrate. Methods A total of 32 AMI patients receiving thrombolytic therapy was divided into two groups , group A (19 patients) with repatency of the coronary artery , and
group B(13 patients) with unrepatency of the coronary artery. 99mTc-MIBI SPECT combined with isosorbide dinitrate was
performed ten days after , then figure out the defect area ( %) and the defect volume ( %) of viable myocardium. Results
The group A and the group B were compared in pairs :Rest 99mTc-MIBI SPECT imaging showed that myocardial defect area
( %) was |
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