核素肺通气/灌注显像在肺栓塞的诊断和介入治疗中的应用进展  

Recent advances of ventilation-perfusion scintigraphy in clinical diagnosis and interventional treatment of pulmonary embolism

作　　者：张馨赟[1] 季晓微[1] 严惟力[1] 

机构地区：[1]上海交通大学医学院附属仁济医院核医学科,200127

出　　处：《介入放射学杂志》2010年第9期749-752,共4页Journal of Interventional Radiology

基　　金：国家自然科学基金(项目编号:30770599);上海市教委科技创新项目(项目编号:08YZ82);上海市重点学科建设项目(项目编号:S30203)

摘　　要：核素肺灌注/通气显像可以反映肺部血流与通气功能,间接评价肺栓塞的分布,特别是对判断血流动力学稳定的,疑似肺栓塞患者有极大的应用价值。与其他影像学检查方法相比具有无创,亚肺段栓塞敏感的优势。同时介入治疗的原理及其应用特点对治疗肺栓塞具有重要的临床价值。本文就肺栓塞的核素显像诊断及介入治疗的方法作一综述。Ventilation-perfusion scintigraphy can reflect the pulmonary function of ventilation and perfusion,then,indirectly assess the distribution of embolism.This technique is especially valuable in evaluating hemodynamic stability in patients with suspected pulmonary embolism.Ventilation-perfusion scintigraphy is superior to other imaging means in clinical practice as it is non-invasive and carries high specificity in detecting sub-segmental embolism.Furthermore,the advantages of interventional therapy are of significant clinical value in treating pulmonary embolism.This paper aims to make a comprehensive review for the ventilation-perfusion scintigraphy diagnosis,as well as the interventional treatment,of pulmonary embolism.

关 键 词：肺栓塞 肺灌注 放射性核素肺通气 介入治疗 

分 类 号：R817.4[医药卫生—影像医学与核医学] R543.2[医药卫生—放射医学]