核素显像在肺栓塞诊断及预后评价的价值(附65例分析)

The value of nuclide imaging on the diagnosis and prognostic evaluation of pulmonary embolism(analysis of 65 cases)

目的:讨论核素显像在肺栓塞(PE)诊断及预后评价的价值.方法:收集2002年1月～2004年6月经核素显像诊断并结合临床确诊的PE患者65例,其中42例患者在治疗后2周、3个月通过肺灌注显像进行复查,用以评价PE的治疗效果.结果:核素肺显像对PE的诊断准确率为93.8%,双下肢深静脉显像对于深静脉血栓的诊断准确率达88.7%,肺灌注显像复查示治疗后2周受累肺段消退率为44.2%,3个月受累肺段消退率为72.8%.结论:核素显像无创、简便、费用低、可重复进行,是PE诊断及预后评价的首选方法.

Objective： To access the value of nuclide imaging on the diagnosis and prognostic evaluation of pulroonary embolism（PE）.Methods：Cases ehoosed were 65 patients diagnosed with PE by nuclide imaging and clinic analysis, we summarized and analyzed all patients＇ materials on diagnosis and treatment. 42 patients had been counterchecked through pulmonary perfusion imaging to evaluate the effects in 2 weeks and 3 months after treatment. Results：Veracious rate of PE＇s diagnosis by nuclide pulmonary imaging is 93.8% ,veracious rate of deep vein thrombus＇ diagnosis by two lower limbs deep vein imaging is 88.7 %, fade away rate of embroiled lung segments in 2 weeks is 44.2% after callback by pulmonary perfusion imaging, fade away rate of embroiled lung segments in 3 months is 72.8%.Conclusion：Nuclide imaging which can be carried out repeatedly, no hurt,convenient,cheap, is the preferred method on the diagnosis and prognostic evaluation of PE.