存活心肌无创性检查的现状  

Present Conditions of Non-invasive Detection of Myocardial Viability

作　　者：齐惠英[1] 郑刚[1] 

机构地区：[1]天津市第三医院心血管内科,天津300250

出　　处：《医学综述》2008年第24期3747-3749,共3页Medical Recapitulate

摘　　要：存活心肌的无创性检查对于指导临床治疗和判断疾病预后非常重要。目前评价存活心肌的方法主要有超声心动图检查、核素心肌显像、磁共振成像等。其中,超声心动图检查具有多切面实时观察、安全、价廉、可重复检查的优点,在存活心肌的评价中作用独特。在核素心肌灌注显像中,正电子发射型计算机体层显像是评价存活心肌的金标准。磁共振检查具有高的空间分辨力、良好的软组织分辨力适合精确定量分析的要求。选择合适的评价方法,对那些有存活心肌的患者进行合理的血运重建术,从而达到改善患者预后的目的。Non-invasive detection of myocardial viability is very important to guide clinical treatments and judge the prognosis. There are several methods to evaluate myocardial viability. Echocardiography is an useful method characterized by real-time observation of multi-directions, safe, cheap and repeatable. Positron emission computed tomography （PET） is the golden standard for evaluation of myocardial viability. Magnetic resonance imaging （MRI） has high resolution of soft tissue. It is very important to select suitable method for evaluation of the patients who have viable myocardium ,which can provide scientific evidences for reasonable revascularization to improve prognosis.

关 键 词：存活心肌 超声心动图 核医学 磁共振成像 

分 类 号：R540.45[医药卫生—心血管疾病]