^99mTc—MIBI心肌显像对小儿心肌炎心肌损害评估价值的研究  

STUDY OF(99m)~ Tc-MIBI MYOCARDIAL TOMOGRAPHY IN EVALUATE THE MYOCARDIAL DAMAGE IN CHILDREN'S MYOCARDITIS

作　　者：严建[1] 陆喆[1] 蔡瑾[1] 华炳春[1] 

机构地区：[1]上海市徐汇区中心医院核医学科,200031

出　　处：《中国现代医学杂志》2000年第8期9-9,11,共2页China Journal of Modern Medicine

摘　　要：目的 :探讨99mTc -MIBI心肌显像对心肌炎患儿心肌损害的检测及评估价值。方法 :对 2 2例疑似心肌炎和 40例心肌炎患儿进行99mTc-MIBI心肌断层显像 ,采用节段记分法对结果进行分析。结果 :疑似心肌炎组有 5例共 8个节段 (4.0 % )显像异常 ;心肌炎组中 30例共 6 7个节段 (18.6 % )显像异常 (P <0 .0 0 1)。心肌炎组中 11例伴心律失常的患儿心肌显像全部异常 (P <0 .0 0 1)。结论 :99mTc-MIBI心肌断层显像对心肌炎患儿心肌损害检测及轻重程度的评估有较好的实用价值。Objective: To explore the value of (99m)~Tc-MIBI myocardial imaging to detect and evaluate the myocardial damage in children's myocarditis. Methods:(99m)~Tc-MIBI myocardial tomography was performed in 22 patients with suspect myocarditis and 40 with myocarditis. Each segment of myocardial images was scored with a four point scoring system. Results: Low uptake of 99m Tc-MIBI images were seen on 5 patients, 8 segments in suspect myocarditis group and 30 patients, 67 segments in myocarditis group (P<0.001). The low uptake was also seen on all of 11 patients with myocarditis accompany arrgythmia (P<0.001) Conclusions: 99m Tc-MIBI myocardial tomography has a better value to detect and evaluate myocarditis in the children's myocarditis.

关 键 词：心肌炎 核素显像 腈类 儿童 检测 

分 类 号：R725.422.1[医药卫生—儿科] R817.4[医药卫生—临床医学]