^(99m)Tc-MIBI心肌灌注显像定量分析评价体外反搏治疗的疗效  

Evaluation of effect of enhanced external couterpulsation treatment by ^(99m) Tc-MLBI myocardial imaging and quantitative analysis

作　　者：张永学[1] 何煜华[1] 安锐[1] 高再荣[1] 胡佳[1] 

机构地区：[1]同济医科大学附属协和医院核医学科,430022

出　　处：《中国临床医学影像杂志》1999年第2期93-95,共3页Journal of China Clinic Medical Imaging

摘　　要：研究99mTc－seastmibi心肌显像在评价体外反搏治疗后疗效中价值。方法：本文对18例接受了体外反搏治疗的冠心病心肌缺血，在治疗前后进行了99mTc－MIBI心肌灌注显像，并对其结果作了定性与定量评价。结果：经一疗程的体外反搏治疗后，18例中有16例心肌缺血有不程程度的改善，其缺血面积由治疗前35．44％±15．83％缩小到27．63％±1277％（P＜0．005），相对灌注指数由0．69±0．12增加到0．72±0．12（P＜0.05），有效率为88．9％;2例患有严重冠脉病变的患者，治疗中病情恶化，缺血面积有扩大。结论：应用99mTc－MIBI心肌显像定量分板是评价体外反搏治疗效果、观察心肌血流改善程度准确、可靠的方法。Objective: To assoss the value of 99m Tc - MIBI myocardial imaging in evaluaion of effect of Enhanced External Couterpulsation(EECP) treatment. Method: 18 patients with myocartlial ischemia were studied with We Tc - MIBI myocardial perfusion imagingquatitative and quantitative analysis before and after EECP. Result: of 18 patients, 16 improved with various deeree about myocardial bloodflow perfusion after one course of treatment. The ischemic area and relative perfusion index after EECP significantly improved from 35. 44%± 15. 83% to 27. 63% ± 12. 77% and 0. 69 ± 0. 12 to 0. 72 ±0. 12, respectively (P < 0. 005 and 0. 05) .Two potients with serious coronaryariery stenosis had a deterioration and enlarged isehemic area for the beatment duration.Conclusion: Myocardial imaging and quantitativeanalysis was an accurate and reliable method to evaluate effect of EECP.

关 键 词：心肌显像 体外反搏 心肌缺血 疗效评价 治疗 

分 类 号：R542.205[医药卫生—心血管疾病]