| 门控心肌灌注显像对病毒性心肌炎的诊断价值 |
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| 引用本文： | 吴贻全 吴秋莲 徐浩. 门控心肌灌注显像对病毒性心肌炎的诊断价值[J]. 江西医学院学报, 2005, 45(2): 62-63 |
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| 作者姓名： | 吴贻全 吴秋莲 徐浩 |
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| 作者单位： | [1]深圳市罗湖区人民医院心内科，广东深圳518001 [2]暨南大学医学院护理系，广东广州510632 [3]暨南大学附属第一医院核医学科，广东广州510632 |
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| 摘 要： | 目的 探讨门控心肌灌注显像对病毒性心肌炎的诊断价值。方法 对38例病毒性心肌炎进行门控^99mTc-甲氧基异丁基异腈(MIBI)心肌显像。结果 门控^99mTc-MIBI心肌显像异常者28例．占心肌炎患者的74％(28／38)。其中放射性分布Ⅱ度(明显放射性分布稀疏区)24例，占86％；Ⅲ度放射性分布缺损区4例．占14％。病灶呈Ⅰ型单灶性损害3例．占11％；Ⅱ型多灶性损害21例，占75％；Ⅲ型大面积损害4例．占16％。结论 门控心肌灌注显像能较直观地表现病变心肌的部位、形态、范围和程度，为病毒性心肌炎的诊断提供较为敏感的检查手段。
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| 关 键 词： | 门控心肌灌注显像 放射性核素 病毒性心肌炎 |
| 文章编号： | 1000-2294(2005)02-0062-02 |
| 修稿时间： | 2005-01-01 |
The Diagnostic Value of Gated Myocardial Perfusion Imaging in Viral Myocarditis |
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| WU Yi-quan ,WU Qiu-lian ,XU Hao. The Diagnostic Value of Gated Myocardial Perfusion Imaging in Viral Myocarditis[J]. Acta Academiae Medicinae Jiangxi, 2005, 45(2): 62-63 |
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| Authors: | WU Yi-quan WU Qiu-lian XU Hao |
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| Affiliation: | WU Yi-quan 1,WU Qiu-lian 2,XU Hao 3 |
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| Abstract: | Objective To investigate the diagnostic value of gated myocardial perfusion imaging in viral myocarditis (G-MPI).Methods 99mTc-MIBI G-MPI was performed on 38 patients with viral myocarditis. Results Twenty-eight(28/38, 74%) patients with abnormal 99mTc-MIBI G-SPECT were discovered in those viral myocarditis, including 24(24/28,86%)of grade II distribution (obviously decreased radioactivity) and 4(14/28, 14%) of grade III distribution. In all the 28 cases of lesions, 3(11%) were single-focal (model I), 21(75%) were multi-focal (model II) and 4(16%) suffered large area (model III). Conclusion G-MPI could intuitionally reveal the location, morpha, range and degree of pathological myocardium, and could act as a sensitive detection means for viral myocarditis. |
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| Keywords: | gated myocardial perfusion imaging radionuclide viral myocarditis |
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