核医学检查在儿童非缺血性心肌病变中的应用价值  

Application of nuclear medicine examination in children with non-ischemic cardiomyopathy

作　　者：赵瑞芳 ZHAO Rui-fang(Department of Nuclear Medicine,Children’s Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院核医学科,上海201102

出　　处：《中国实用儿科杂志》2020年第5期348-350,共3页Chinese Journal of Practical Pediatrics

摘　　要：核医学检查对儿童非缺血性心肌病变是有价值的辅助诊断技术,主要检查方法包括心肌灌注显像及平衡法门控心血池显像。心脏核素检查在早期发现心肌损害、心功能改变等方面有肯定的价值。心肌灌注显像可根据心肌显像剂在心肌内分布评价心室形态、大小、心室壁厚度及病变心肌的活力等鉴别不同类型心肌病,辅助诊断心肌炎;平衡法门控心血池显像可测定左、右心室功能,观察心室及局部室壁运动,评价疗效及判断预后。该文对心脏核素显像在非缺血性心肌病的临床应用进行了探讨。Nuclear medical examination is a valuable auxiliary diagnostic technique for non-ischemic cardiomyopathy in chil⁃dren.The main examination methods include myocardial perfu⁃sion imaging(MPI)and equilibrium gated cardiac blood pool imaging.Cardiac nuclide examination has positive value in early detection of myocardial damage and cardiac function changes.Myocardial perfusion imaging can distinguish different types of cardiomyopathy and assist the diagnosis of myocarditis according to the distribution of myocardial imaging agents in myocardium,the evaluation of ventricular morphology,size,thickness of ven⁃tricular wall and the activity of diseased myocardium.Gated blood pool imaging(GBPI)can be used to measure left and right ven⁃tricular function,observe ventricular and local wall motion,evaluate the curative effect and judge the prognosis.The review discusses the clinical application of cardiac radionuclide imaging in non-ischemic cardiomyopathy.

关 键 词：心肌灌注显像 平衡法门控心血池显像 儿童 心肌病 心肌炎 

分 类 号：R72[医药卫生—儿科]