Beyer-Enke S A, Clorius J H, Görich J, Irngartinger G, Schulz V, Kayser K W, Becker H
Institut für Radiologie und Pathophysiologie, Heidelberg-Rohrbach.
Rofo. 1989 Jun;150(6):680-3. doi: 10.1055/s-2008-1047100.
The effect of tumour size, as determined surgically, and tumour position, as determined by bronchoscopy, on ventilation and perfusion scintigraphy was examined in 53 patients with squamous cell carcinomas of the lung. The findings were compared with reduction in one-second-capacity. Central tumours were frequently associated with marked reduction in perfusion. In these patients there was a linear positive correlation between ventilation and one-second-capacity. The reduction in perfusion, and the need to measure this, became with more peripheral tumours. There was a correlation between ventilation and tumour size in patients with V/Q quotient of greater than 1.2. The results show that tumour size and position do not necessarily indicate operability. For planning surgery of central tumours, perfusion scintigraphy therefore occupies an important position.
在53例肺鳞状细胞癌患者中,研究了手术确定的肿瘤大小和支气管镜检查确定的肿瘤位置对通气和灌注闪烁扫描的影响。将这些结果与一秒钟用力呼气量的降低情况进行了比较。中央型肿瘤常伴有灌注明显降低。在这些患者中,通气与一秒钟用力呼气量之间存在线性正相关。对于更外周的肿瘤,灌注降低以及测量灌注的必要性更为明显。在通气/血流比值大于1.2的患者中,通气与肿瘤大小之间存在相关性。结果表明,肿瘤大小和位置不一定表明是否可手术。因此,对于中央型肿瘤的手术规划,灌注闪烁扫描占据重要地位。