癫痫病SPECT脑血流断层显像与EEG、CT、MRI检查的比较研究  

Comparative Study of SPECT Cerebral blood flow tomography with EEG,CT and MRI in patients with epilepsy

作　　者：施荣虎[1] 覃伟武[1] 马加强 

机构地区：[1]广西医科大学第一临床医学院核医学科,南宁市530021

出　　处：《医学文选》2000年第2期129-130,共2页Anthology of Medicine

摘　　要：目的　探讨 SPECT脑血流断层显像对癫痫患者的临床意义。方法　检查前 1小时患者口服过氯酸钾 40 0 mg以封闭脉络丛 ,静脉注射显像剂 (99m Tc- ECD) 740～ 92 5 MBq后 2 0～ 30分钟进行脑断层显像。结果　 SPECT、EEG、CT、MRI的异常率分别为 88.89%、 87.5 0 %、 15 .2 %和 2 7% ,经统计学处理 ,SPECT分别与 EEG、CT、MRI进行比较 ,P值分别为P >0 .0 5、 P <0 .0 0 1、 P <0 .0 0 1。结论　 SPECT脑血流显像对癫痫病的诊断有较大的临床价值 ,灵敏度优于 CT和 MRI,与EEG较一致。Objective to investigate clinical significance of SPECT cerebral blood flow tomography in patients with epilepsy Methods before examing 1 hour,patient take kaliichloride 400mg,after vein injecting 99m Tc ECD 740~925MBq 20~30minits,Cerebral blood flow tomography would be done Result The positive rate in SPECT、EEG、CT and MIR was 88 89%、87 30%、15 1% and 27 27% Comparativing SPECT with EEG、CT、MRI The value was P>0 05、P>0 001、P<0 001 Conclusion SPECT cerabal blood tomography has more important clinical value It may have some advantages over EEG、CT and MRI in detecting and localiging epileptic foci,The samewith EEG

关 键 词：单光子计算机断层 癫痫 核磁共振 脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]