[1]董华,张遵城,郭永涛,等.99Tcm-聚合白蛋白肺灌注显像对肺栓塞溶栓疗效的评价[J].国际放射医学核医学杂志,2009,33(2):76-79.[doi:10.3760/cma.j.issn.1673-4114.2009.02.004]
　DONG Hua,ZHANG Zun-cheng,GUO Yong-tao,et al.Evaluation of 99Tcm-macroaggregated albumin pulmonary perfusion imaging to thrombolytic therapy in pulmonary embolism[J].International Journal of Radiation Medicine and Nuclear Medicine,2009,33(2):76-79.[doi:10.3760/cma.j.issn.1673-4114.2009.02.004]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
33
期数:
2009年第2期
页码:
76-79
栏目:
临床核医学
出版日期:
1900-01-01

文章信息/Info

Title:
Evaluation of 99Tcm-macroaggregated albumin pulmonary perfusion imaging to thrombolytic therapy in pulmonary embolism
作者:
董华;  张遵城;  郭永涛;  肖连东
天津医科大学第二医院核医学科, 天津 300211
Author(s):
DONG Hua;  ZHANG Zun-cheng;  GUO Yong-tao;  XIAO Lian-dong
Department of Nuclear Medicine, The Second Hospital of Tianjin Medical University, Tianjin 300211, China
关键词:
肺栓塞; 99m锝聚合白蛋白; 放射摄影术; 胸廓; 栓塞; 治疗性
Keywords:
Pulmonary embolism; Technetium Tc 99m aggregated albumin; Radiography;  thoracic; Embolization;  therapeutic
DOI:
10.3760/cma.j.issn.1673-4114.2009.02.004
摘要:
目的 探讨99Tcm-聚合白蛋白(99Tcm-MAA)肺灌注显像评价肺栓塞溶栓治疗的价值.方法 对54例急性肺栓塞的患者进行回顾性分析,所有患者均由99Tcm-MAA肺灌注显像结合X线胸片检查确诊,并于溶栓治疗1周后复查肺灌注显像,部分病例于治疗3个月后再次复查.结果 54例急性肺栓塞患者溶拴治疗前99Tcm-MAA肺灌注显像共观察到347个受损肺段,X线胸片均无相应肺段或亚肺段异常.溶栓治疗后1周复查肺灌注显像,164个受损肺段(47.3%)恢复正常;3个月后再次复查,199个受损肺段(57.4%)恢复正常(χ2=10.68,P<0.05).结论 99Tcm-MAA肺灌注显像是一种无创的诊断方法,对肺栓塞溶栓治疗效果的评估有重要价值.
Abstract:
Objective To investigate the role of 99Tcm-macroaggregated albumin (99Tcm-MAA)pulmonary perfusion imaging in evaluating thrombolytic therapy in pulmonary embolism. Methods Date of 54 patients with acut pulmonary embolism diagnosed by 99Tcm-MAA pulmonary perfusion imaging combined with radiography were analyzed retrospectively. Among them, pulmonary perfusion imaging was also performed one week after thrombolytic therapy. In some cases, pulmonary perfusion imaging was performed three months after thrombolytic therapy. Results The results of radiography were normal in all cases, among 347 abnormal pulmonary segments in 54 cases. 164 (47.3%) and 199 (57.4%) segments were restored to normal 1 week and 3 months later(χ2=10.68, P<0.05). Conclusion As a non-invasive diagnostic method,99Tcm-MAA pulmonary perfusion imaging play an important role in evaluating the therapeutic effectiveness of thrombolytic therapy in patients with pulmonary embolism.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2008-10-08。
通讯作者:董华(E-mail:dhdouble@sina.com)
更新日期/Last Update: 1900-01-01