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核素心肌断层显像诊断心尖肥厚型心肌病
引用本文:冯颖青,周颖玲,黄文晖.核素心肌断层显像诊断心尖肥厚型心肌病[J].中华核医学杂志,2002,22(6):338-339.
作者姓名:冯颖青  周颖玲  黄文晖
作者单位:510080,广州,广东省心血管病研究
摘    要:目的 探讨核素心肌断层显像对心尖肥厚型心肌病 (AHCM)的诊断价值。方法  32例有特殊心电图改变、疑为AHCM的患者行超声心动图 (UCG)、99Tcm 甲氧基异丁基异腈 (MIBI)心肌断层显像、冠状动脉造影及左室造影等检查。结果  32例患者中确诊为AHCM者 2 9例 ,UCG与核素心肌断层显像诊断灵敏度分别为 93.1%和 89.7% ,两者差异无显著性 (P >0 .0 5 )。结论 99Tcm MIBI心肌断层显像是诊断AHCM一种有效无创的方法。

关 键 词:核素心肌断层显像  诊断  心尖肥厚型心肌病  超声心动图  AHCM
修稿时间:2002年5月20日

Assessment of radionuclide 99Tcm-MIBI myocardial scanning for the diagnosis of apical hypertrophic cardiomyopathy
FENG Yingqing,ZHOU Yingling,HUANG Wenhui. Guangdong Provincial Cardiovascular Institute,Guangzhou ,China.Assessment of radionuclide 99Tcm-MIBI myocardial scanning for the diagnosis of apical hypertrophic cardiomyopathy[J].Chinese Journal of Nuclear Medicine,2002,22(6):338-339.
Authors:FENG Yingqing  ZHOU Yingling  HUANG Wenhui Guangdong Provincial Cardiovascular Institute  Guangzhou  China
Institution:FENG Yingqing,ZHOU Yingling,HUANG Wenhui. Guangdong Provincial Cardiovascular Institute,Guangzhou 510080,China
Abstract:ObjectiveTo evaluate the value of radionuclide 99Tcm-MIBI myocardial scanning for the diagnosis of apical hypertrophic cardiomyopathy(AHCM). MethodsThirty-two cases with typical ECG of AHCM were studied by ultrasonic cardiography (UCG), radionuclide 99Tcm-MIBI myocardial scanning, coronary angiography and left ventriculography. THResultsTwenty-nine patients were diagnosed with AHCM. The diagnostic sensitivity of SPECT vs UCG in AHCM was 89.7% vs 93.1%. The specificity was 100% for both. There was no significant difference in diagnosis of AHCM between UCG and ECT. ConclusionSPECT is an effective method for diagnosing AHCM.
Keywords:Cardiomyopathy  hypertrophic  Tomography  emission-computed  single-photon  MIBI  Echocardiography  Coronary angiography
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