Fikrle A, Suchý M, Slípková D, Záhlava J, Cepelák V
Department of Nuclear Medicine, Regional Institute of Health, Plzen, Czechoslovakia.
Cor Vasa. 1990;32(2):166-74.
The review discusses the potential and limitations of radionuclide (RN) techniques of examination in diagnosing thromboembolic disease of venous origin. The advantages and drawbacks of perfusion pulmonary scintigraphy as the most commonly used method are weighed especially with a view to the diagnosis of pulmonary embolism (PE). The need for a combined examination including inhalation scintigraphy and chest X-ray is underlined. The criteria for interpreting results of RN techniques of examination in assessing the presence of PE are defined. Of the methods used in the diagnosis of venous thrombosis, the benefits and limitations of the fibrinogen uptake test (FUT) and radionuclide venography (RNV) are pointed out. When comparing RNV with X-ray phlebography, the authors found a low sensitivity in the crural area (54%) and, on the contrary, a 100% agreement in the areas of iliac veins and the vena cava inferior.
这篇综述讨论了放射性核素（RN）检查技术在诊断静脉源性血栓栓塞性疾病中的潜力和局限性。尤其从诊断肺栓塞（PE）的角度权衡了灌注肺闪烁扫描作为最常用方法的优缺点。强调了进行包括吸入闪烁扫描和胸部X线检查在内的联合检查的必要性。明确了在评估PE存在时解释RN检查技术结果的标准。在用于诊断静脉血栓形成的方法中，指出了纤维蛋白原摄取试验（FUT）和放射性核素静脉造影（RNV）的益处和局限性。在将RNV与X线静脉造影进行比较时，作者发现小腿区域的敏感性较低（54%），相反，在髂静脉和下腔静脉区域的一致性为100%。
