核素肺通气/灌注显像诊断恶性肿瘤患者肺栓塞的临床研究  

Clinical study of pulmonary ventilation/perfusion imaging in detection of acute pulmonary embolism complicated with malignant tumor

作　　者：张广伟[1] 冯贵生[1] 李丽娟[1] 曹金红[1] 霍建源[1] 

机构地区：[1]山西省人民医院核医学科,太原030012

出　　处：《实用医学影像杂志》2016年第3期217-219,共3页Journal of Practical Medical Imaging

基　　金：山西省卫生厅科研课题(201301033)

摘　　要：目的探讨肺通气/灌注显像(pulmonary ventilation/perfusion imaging,V/Q)诊断恶性肿瘤患者肺栓塞(PE)的临床应用价值。方法回顾性研究我科50例临床疑诊PE的恶性肿瘤患者行肺通气灌注显像,综合分析患者临床资料、实验室检查及影像学检查,评价V/Q显像的诊断效能。结果 36位患者最终诊断为肺栓塞,V/Q显像诊断的灵敏度,特异性,准确性分别为92%,86%及90%。结论肺通气/灌注显像这一核医学技术手段在定性诊断恶性肿瘤患者肺栓塞方面具有优势,能为该疾病的早期诊断、治疗方案选择及疗效评价提供帮助。Objective To assess the value of pulmonary ventilation/perfusion imaging in the diagnosis of pul-monary embolism （PE） complicated with malignant tumor. Methods Fifty cancer patients with clinically suspected PE were proceeded pulmonary ventilation/perfusion imaging. Their data were analyzed including clinical information, laboratory test and imaging examinations. The diagnostic efficiency of V/Q was evaluated. Results Thirty-six patientswere clinically diagnosed PE. The sensitivity, specificity and accuracy of ventilation/perfusion imaging was 92%,86%, and 90%. Conclusion Pulmonary ventilation/perfusion imaging have its own advantages in the diagnosis of PE.It can help provide earlier diagnosis ,select treatment protocols and evaluate curative effect.

关 键 词：肺栓塞 放射性核素显像 癌 

分 类 号：R563.5[医药卫生—呼吸系统]