CAJ | 학술논문

目的探讨99Tcm标记化合物显像检测冠心病的优化方案.方法选择临床可疑或确诊的冠心病患者4236例,进行99Tcm标记化合物显像8873例次,分析显像结果,提出99Tcm标记化合物显像检测冠心病的优化方案,并与临床资料对照验证.结果在可疑冠心病诊断、心肌缺血检测、心肌梗死诊断中,该方案准确率高达94.1%.对临床特需的诊断要求如存活心肌检测、 "罪犯"血管检测、缺血性心肌病诊断、疗效监测等也有较高的准确率.结论 99Tcm标记化合物显像优化方案可以完成临床对冠心病的大部分诊断要求,克服了核素显像自身的部分缺陷,具有高效、简便、节约的优势,临床指导价值显著.
목적 탐토99Tcm표기화합물현상검측관심병적우화방안.방법 선택림상가의혹학진적관심병환자4236례,진행99Tcm표기화합물현상8873례차,분석현상결과,제출99Tcm표기화합물현상검측관심병적우화방안,병여림상자료대조험증.결과 재가의관심병진단、심기결혈검측、심기경사진단중,해방안준학솔고체94.1%.대림상특수적진단요구여존활심기검측、 "죄범"혈관검측、결혈성심기병진단、료효감측등야유교고적준학솔.결론 99Tcm표기화합물현상우화방안가이완성림상대관심병적대부분진단요구,극복료핵소현상자신적부분결함,구유고효、간편、절약적우세,림상지도개치현저.
Objective To investigate the optimal program of 99Tcm labeled radionuclide imaging in diagnosing coronary disease. Methods Four-thousand-two-hundred and thirty-six patients who were suspected or diagnosed with coronary disease were chosen. Eight-thousand-eight-hundred and seventy-three times 99Tcm labeled radionuclide imaging were taken and analyzed. The optimal program of 99Tcm labeled radionuclide imaging were drawn, compared and verified with their clinical information. Results The optimal program had high accuracy in diagnosing the patients of coronary disease, myocardial ischemia, myocardial infarction. It also was exact in special clinical needs of detecting myocardial viability, culprit vessel, ischemic cardiomyopathy and therapy effect. Conclusions The optimal program could satisfy many requirements of diagnosing coronary disease and overcome some defects of radionuclide imaging. So it was one highperforming, convenient and economical program and had significant clinical value.