论文部分内容阅读
本文报告了确诊的50例原发性心肌病病人的心血池扫描结果。肥厚型心肌病的心血池扫描图象表现为3种类型,即狭窄型15例,稀疏型14例,正常型2例。狭窄型为梗阻型肥厚性心肌病的典型表现;稀疏型则为非梗阻型肥厚性心肌病的表现;而正常型视为假阴性。故心血池扫描诊断肥厚性心肌病的灵敏度为96. 0%。19例扩张型心肌病的心血池扫描图象特点为心血池影扩大,呈球形或椭圆形。但缺乏诊断的特异性。当怀疑有扩张型心肌病而又不能确诊时,心血池扫描对诊断有较大价值。此技术不仅对原发性心肌病的诊断,而且对梗阻型与非梗阻型肥厚性心肌病以及肥厚性与扩张性心肌病的鉴别诊断,也提供客观依据。
This article reports the results of a cardiac pool scan of 50 confirmed primary cardiomyopathy patients. Hypertrophic cardiomyopathy in the heart pool scan images showed three types, 15 cases of stenosis, sparse 14 cases, 2 cases of normal type. Narrow type is a typical manifestation of obstructive hypertrophic cardiomyopathy; sparse type is the performance of non-obstructive hypertrophic cardiomyopathy; and normal type as false negative. Therefore, the sensitivity of cardiomyocyte scan diagnosis of hypertrophic cardiomyopathy was 96.0%. 19 cases of dilated cardiomyopathy, the characteristics of the heart pool scan images for the expansion of blood pool pool, spherical or oval. But the lack of diagnostic specificity. When suspected dilated cardiomyopathy and can not be confirmed, the blood pool scan has great value in the diagnosis. This technology not only for the diagnosis of primary cardiomyopathy, but also for obstructive and non-obstructive hypertrophic cardiomyopathy and hypertrophic and dilated cardiomyopathy differential diagnosis, but also provide an objective basis.