^(99m)Tc-MIBI心肌断层显像潘生丁试验758例回顾性分析

Analysis of 758 Cases of Dipyridamole ~99mTc-MIBI Myocardial Perfusion Tomographic Imaging

目的：探讨99mTc－MIBI心肌断层潘生丁试验的临床价值。材料与方法：758例被检查者中冠心病（CAD）438例，陈旧性心梗（OMI）35例，心肌炎12例，心肌病13例，高血压病39例，其它221例，行静息心肌断层和潘生了试验心肌断层。结果：67．6％（512／758）患者检查结果异常，有静息时填充、负荷时填充（反填充）、双重填充、不填充和分布不均等五种显像改变。结论：根据显像改变的不同类型可帮助鉴别心脏缺血性疾病，对诊断CAD、指导CAD治疗及其预后有重要意义。

Purpose: Clinical value of dipyridamole 99mTc-MIBI myocardial perfusion tomographic imaging were reviewed. Material andMathods: Rest and dipyridamole 99mTc-MIBI myocardial perfusion tomographic imaging were performed on 758 patients. Results: The resuits of the examination of 67. 6% (512/758) patients are abnormal. There are 5 types of myocardial imaging changes. Conclusion: Basecon those types of myocardial images, myocardial ischemic diseases may be differentiated. The method bears important significance in directlug treatment and judging prognosis of CAD.