Sergienko V B, Shcherbatkin D D, Borisenko A P
Ter Arkh. 1985;57(4):95-9.
One hundred and thirty-six patients with CHD were examined by plane scintigraphy and single-photon emission computer-aided tomography (SPECT). The control group comprised 26 healthy persons. Two SPECT techniques were compared (gamma-chamber rotation at 360 and 180 degrees). In acute myocardial infarction, focal defects of perfusion were detected by SPECT in 36 out of 39 patients, those by plane scintigraphy in 30 patients. In angina pectoris patients, perfusion alterations were detected by SPECT and scintigraphy in 91.6 and 75% of cases, respectively. During tomographic examination of patients with postinfarction cardiosclerosis, the perfusion defects were revealed in 38 out of 42 patients, whereas during plane scintigraphy, such alterations were detected but in 31 patients. The advantages of SPECT and its high importance for diagnosing different patterns of CHD are discussed. It is recommended that SPECT and plane scintigraphy can be used combined in clinical practice.
对136例冠心病患者进行了平面闪烁扫描和单光子发射计算机断层扫描（SPECT）检查。对照组包括26名健康人。比较了两种SPECT技术（γ室360度和180度旋转）。在急性心肌梗死患者中，39例患者中有36例通过SPECT检测到灌注局灶性缺损，30例通过平面闪烁扫描检测到。在心绞痛患者中，SPECT和闪烁扫描分别在91.6%和75%的病例中检测到灌注改变。在心肌梗死后心硬化患者的断层检查中，42例患者中有38例发现灌注缺损，而在平面闪烁扫描中，仅31例患者检测到这种改变。讨论了SPECT的优势及其在诊断不同类型冠心病中的高度重要性。建议在临床实践中可联合使用SPECT和平面闪烁扫描。
