Broin P, Cammilleri S, Desfossez L, Khelifa F, Panagides D, Siles S, Kaphan G, Bory M
Service de cardiologie A, CHU La Timone, Marseille.
Arch Mal Coeur Vaiss. 1993 Apr;86(4):455-9.
Tomoscintigraphy, a method developed over 10 years ago, is little used nowadays for the evaluation of suspected pulmonary embolism. The authors report the results of a preliminary study of 10 patients hospitalised for this condition. Tomoscintigraphy was normal in 2 cases and abnormal in 8 cases. Seven of these 8 patients underwent pulmonary angiography which confirmed the diagnosis of pulmonary embolism in 6 cases. The small number of patients, however, did not allow measurement of the sensitivity and specificity. Tomoscintigraphy, repeated at the 8th day and at the first month, provides an assessment of therapeutic efficacy. Some improvement is observed in all cases from the first control but the amount varies from one subject to another. At one month, 3 of the 6 patients undergoing control tomoscintigraphy had hypoperfusion sequellae. The simplicity of pulmonary tomoscintigraphy makes it a useful investigation for emergency diagnosis and follow-up pulmonary embolism.
断层闪烁扫描术是一种十多年前开发的方法，如今很少用于评估疑似肺栓塞。作者报告了对10例因该病症住院患者的初步研究结果。断层闪烁扫描术检查结果正常的有2例，异常的有8例。这8例患者中有7例接受了肺血管造影，其中6例确诊为肺栓塞。然而，由于患者数量较少，无法测定其敏感性和特异性。在第8天和第1个月重复进行断层闪烁扫描术，可评估治疗效果。从第一次检查开始，所有病例均观察到有所改善，但改善程度因人而异。在第1个月时，接受断层闪烁扫描术复查的6例患者中有3例存在灌注不足后遗症。肺断层闪烁扫描术操作简便，是肺栓塞急诊诊断和随访的有用检查手段。
