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[肺栓塞的血管造影与肺灌注闪烁扫描]

[Angiography and perfusion pulmonary scintigraphy in pulmonary embolism].

作者信息

Parola J L, Angel C, Seurot M, Raynaud A, Gaux J C

出版信息

J Radiol. 1983 Jan;64(1):21-5.

PMID:6854525
Abstract

Clinical signs suggestive of pulmonary embolism require diagnostic confirmation from complementary scintigraphic and/or angiographic examinations, therapy being adapted to the results obtained. A comparative study of the value of the two techniques was conducted in 20 patients with suspected pulmonary embolism investigated by a perfusion pulmonary scan and selective pulmonary angiography. Results confirmed the diagnostic superiority of angiography, the high percentage of false positives obtained by perfusion scintigraphy alone indicating the need for associated ventilatory function tests.

摘要

提示肺栓塞的临床体征需要通过补充性的闪烁扫描和/或血管造影检查来进行诊断确认,并根据所得结果调整治疗方案。对20例疑似肺栓塞患者进行了一项对比研究,这些患者接受了灌注肺扫描和选择性肺血管造影检查。结果证实了血管造影在诊断方面的优越性,仅通过灌注闪烁扫描获得的高假阳性率表明需要进行相关的通气功能测试。

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