山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2014年
34期
5-7
,共3页
冠状动脉粥样硬化性心脏病%心肌灌注显像%冠状动脉造影
冠狀動脈粥樣硬化性心髒病%心肌灌註顯像%冠狀動脈造影
관상동맥죽양경화성심장병%심기관주현상%관상동맥조영
coronary heart disease%myocardial perfusion imaging%coronary angiography
目的:探讨13 N-NH3 PET腺苷负荷-静息心肌灌注显像( MPI)在疑诊或确诊冠心病患者冠脉病变功能学评价中的应用价值。方法30例疑似或确诊的冠心病患者,均接受13N-NH3PET腺苷负荷-静息MPI和冠状动脉造影( CAG)检查。结果用13 N-NH3 PET腺苷负荷-静息MPI评估30例患者197个冠状动脉节段供血区,结果50个节段供血区确定为存活心肌(24个节段供血区发现可逆性灌注缺损,26个节段供血区呈固定性灌注缺损),3个节段供血区确定为无存活心肌,其余144个节段供血区为正常心肌。以CAG发现≥50%狭窄为CAG检查结果阳性标准,30例中MPI与CAG结果相符合者24例。阳性22例、假阳性5例、假阴性1例、阴性2例。敏感度95.65%、特异度28.57%、阳性预测值81.48%、阴性预测值66.67%。以CAG发现≥75%狭窄为CAG阳性标准,30例中MPI结果与CAG结果相符合者25例。其中阳性22例、假阳性5例、假阴性0例、阴性3例。敏感度为100%、特异度为37.5%、阳性预测值为81.48%、阴性预测值为100%。结论 MPI用于疑似或确诊冠心病患者冠状动脉功能学评价效果较好。
目的:探討13 N-NH3 PET腺苷負荷-靜息心肌灌註顯像( MPI)在疑診或確診冠心病患者冠脈病變功能學評價中的應用價值。方法30例疑似或確診的冠心病患者,均接受13N-NH3PET腺苷負荷-靜息MPI和冠狀動脈造影( CAG)檢查。結果用13 N-NH3 PET腺苷負荷-靜息MPI評估30例患者197箇冠狀動脈節段供血區,結果50箇節段供血區確定為存活心肌(24箇節段供血區髮現可逆性灌註缺損,26箇節段供血區呈固定性灌註缺損),3箇節段供血區確定為無存活心肌,其餘144箇節段供血區為正常心肌。以CAG髮現≥50%狹窄為CAG檢查結果暘性標準,30例中MPI與CAG結果相符閤者24例。暘性22例、假暘性5例、假陰性1例、陰性2例。敏感度95.65%、特異度28.57%、暘性預測值81.48%、陰性預測值66.67%。以CAG髮現≥75%狹窄為CAG暘性標準,30例中MPI結果與CAG結果相符閤者25例。其中暘性22例、假暘性5例、假陰性0例、陰性3例。敏感度為100%、特異度為37.5%、暘性預測值為81.48%、陰性預測值為100%。結論 MPI用于疑似或確診冠心病患者冠狀動脈功能學評價效果較好。
목적:탐토13 N-NH3 PET선감부하-정식심기관주현상( MPI)재의진혹학진관심병환자관맥병변공능학평개중적응용개치。방법30례의사혹학진적관심병환자,균접수13N-NH3PET선감부하-정식MPI화관상동맥조영( CAG)검사。결과용13 N-NH3 PET선감부하-정식MPI평고30례환자197개관상동맥절단공혈구,결과50개절단공혈구학정위존활심기(24개절단공혈구발현가역성관주결손,26개절단공혈구정고정성관주결손),3개절단공혈구학정위무존활심기,기여144개절단공혈구위정상심기。이CAG발현≥50%협착위CAG검사결과양성표준,30례중MPI여CAG결과상부합자24례。양성22례、가양성5례、가음성1례、음성2례。민감도95.65%、특이도28.57%、양성예측치81.48%、음성예측치66.67%。이CAG발현≥75%협착위CAG양성표준,30례중MPI결과여CAG결과상부합자25례。기중양성22례、가양성5례、가음성0례、음성3례。민감도위100%、특이도위37.5%、양성예측치위81.48%、음성예측치위100%。결론 MPI용우의사혹학진관심병환자관상동맥공능학평개효과교호。
Objective To explore the value of 13 N-NH3 PET adenosine stress -resting myocardial perfusion imaging ( MPI) in the diagnosis of coronary heart disease, coronary artery lesions function to evaluate the feasibility of learning. Methods 0patientswithcoronaryheartdisease(CHD)weredetectedwith13N-NH3PETadenosinestress-restingandcor-onary angiography.Method 30 cases of patients with two day MPI.All patients were performed coronary angiography in 1 months.Results On the basis of coronary angiography found 50%or more narrow,the sensitivity of MPI was 95.65%,spe-cific degrees was 28.57%,positive predictive value was 81.48%,negative predictive value was 66.67%.On the basis of cor-onary angiography found 75%or more narrow,the sensitivity of MPI was 100%,specific degrees was 37.5%,positive predic-tive value was 81.48%,negative predictive value was 100%. Conclusion MPI can serve as effective index of the diagnosis of CHD, is also a very good function of coronary artery evaluation index.