| 核素显像对缺血性心肌病的诊断与疗效评价 |
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| 引用本文： | 栾兆生,周雯,唐为国,苏玉文,杨曙光.核素显像对缺血性心肌病的诊断与疗效评价[J].泰山医学院学报,2009,30(12). |
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| 作者姓名： | 栾兆生 周雯 唐为国 苏玉文 杨曙光 |
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| 作者单位： | 中国人民解放军第八十八医院,山东,泰安271000 |
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| 摘 要： | 目的探讨核素显像对缺血性心肌病(ICM)的诊断价值和疗效评价价值。方法选择321例临床综合资料确诊的ICM患者进行组合核素显像(CR I),与190例非缺血性扩张性心肌病患者(DCM)的核素显像表现进行对照,分析核素显像诊断ICM的灵敏度、特异度、准确率。对167例ICM患者进行治疗后随访显像,并与临床疗效评价情况对比,验证核素显像评价疗效的准确性。结果核素组合显像诊断ICM的灵敏度为92.8%(298/321),特异度为88.1%(170/193),阳性预测值93.7%(298/318),阴性预测值89.5%(170/190),准确性为91.6%(468/511)。核素显像评价疗效总有效率为85.0%(142/167),临床评价疗效总有效率为83.8%(140/167),二者结果接近。结论核素组合显像能提高缺血性心肌病的诊断准确性,在监测疗效方面与临床评价符合率高。
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| 关 键 词： | 缺血性心肌病(ICM) 组合核素显像(CRI) 诊断 疗效评价 |
The diagnosis and curative effect evaluation of radionuclide imaging in ischemic cardiomyopathy(ICM)patients |
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| LUAN Zhao-sheng,ZHOU Wen,TANG Wei-guo,SU Yu-wen,YANG Shu-guang.The diagnosis and curative effect evaluation of radionuclide imaging in ischemic cardiomyopathy(ICM)patients[J].Journal of Taishan Medical College,2009,30(12). |
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| Authors: | LUAN Zhao-sheng ZHOU Wen TANG Wei-guo SU Yu-wen YANG Shu-guang |
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| Institution: | (Nuclide Department of PLA 88th Hospital; Taian 271000; China); |
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| Abstract: | Objective: Investigate the values of radionuclide imaging in ischemic cardiomyopathy(ICM) patients diagnosis and curative effects evaluating.Methods: 321 ICM patients were chosen,and they have taken combined radionuclide imaging(CRI).Their results of CRI were compared with other 190 dilated cardiomyopathy(DCM) patients .the sensibility,specificity and accurate rate were analyzed.167 ICM patients have been followed-up by CRI after therapy.Its evaluating results of curative effects rate were validated throug... |
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| Keywords: | ischemic cardiomyopathy（ICM） radionuclide imaging（CRI） diagnosis curative effect evaluation |
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