Delelis D, Basse-Cathalinat B, Arnaud D, Lavignolle B
Anesth Analg (Paris). 1977 Sep-Oct;34(5):929-42.
The pulmonary scintigraphy with xenon 133. On its interest in the pre-operative exploration of the kyphoscoliotic youth's lung function before vertebral arthrodesis. The classical functional lung exploration (spirometry, arterial blood gas) gives only a general aspect of the pulmonary function. On the other hand, the pulmonary scintigraphy with Xe 133 studying perfusion as well as ventilation gives into evidence some troubles concerning the distribution of the regional lung volumes together with a general or local increase of the lung on the scoliotic convex side; the base of the latter, whose volume is more important, is the seat of a physiological dead space. The lung on the scoliotic concave side shows a proportional reduction of perfusion and ventilation. We consider this investigation, harmlessly and easily carried out, as essential to observe the evolution of the young scoliotic patients' lung function.
133氙肺闪烁扫描术。其在脊柱融合术前对脊柱侧凸青少年肺功能进行术前评估中的应用。传统的肺功能评估(肺活量测定、动脉血气分析)仅能反映肺功能的总体情况。另一方面,133氙肺闪烁扫描术可同时研究灌注和通气情况,能发现区域肺容积分布方面的一些问题,以及脊柱侧凸凸侧肺的总体或局部增大;凸侧肺底部容积更大,存在生理性无效腔。脊柱侧凸凹侧的肺灌注和通气则成比例减少。我们认为这项检查实施起来无害且简便,对于观察脊柱侧凸青少年患者肺功能的演变至关重要。