核素显像对冠心病经皮冠状动脉介入治疗后心功能的评价  

Assessment of heart function in patients with coronary disease after percutaneous coronary intervention by radionuclide imaging

作　　者：林明[1] 陈书尚[1] 吴可贵[1] 蔡洪斌[1] 缪蔚冰[1] 阮琴韵[1] 郑勇[1] 

机构地区：[1]福建医科大学附属第一医院,福建福州市350005

出　　处：《心血管康复医学杂志》2005年第4期388-390,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：福建省科技计划项目2000Z163(子课题1) 。

摘　　要：目的:应用单光子发射计算机断层显像(SPECT)评价冠心病患者行经皮冠状动脉介入(PCI)治疗对左心收缩及舒张功能的影响。方法:对30例冠脉造影证实至少一支狭窄大于70%的冠心病患者行PCI,手术前后分别用SPECT 检测左室的收缩及舒张功能指标。结果:PCI 术后左室的收缩功能,舒张功能及心功能分级均显著改善(P< 0. 05～<0. 01) 。结论:PCI 能改善冠心病患者的左室功能,而核素显像可正确评价PCI 的疗效。Objective： To assess left ventricular systolic and diastolic function in patients after percutaneous coronary intervention （PCI） with single photon emission computed tomography （SPECT）. Methods ： Thirty patients with coronary artery disease （CAD） who at least had stenosis more than 70 percent at one vessel confirmed with coronary arteriography underwent PCI. Before and after operation, left ventricular systolic and diastolic function parameters were measured with SPECT. Results：After PCI,left ventricular systolic and diastolic function improved, the heart functional classification levels improved also（P〈0. 05〈0.01）. Conclusion：PCI can effectively improve left ventricular function in patients with coronary artery disease and radionuclide imaging can correctly assess its efficacy.

关 键 词：冠状动脉疾病 血管成形术 经腔 经皮冠状动脉 放射性核素显像 

分 类 号：R541.409[医药卫生—心血管疾病]