Kovacić K, Susković T, Kusić Z, Lacić M
Klinicka bolnica Sestre milosrdnice, Zagreb.
Lijec Vjesn. 1997 Jan;119(1):27-31.
Ventilation-perfusion (V/P) scintigraphy was performed 62 times in 57 patients suspected of having pulmonary embolism (PE). The aim of this study was to present the results and our first experiences in V/P scintigraphy, as well as to point out some specificities of the study. Perfusion scintigraphy was performed following i.v. administration of 99mTc MAA. If the finding was positive, ventilation scan was performed directly after the inhalation of 99mTc DTPA aerosol. Based on the comparison of both findings the patients were divided into four groups: normal finding (8.1% of patients), low (54.8%), medium (22.6%), and high level of PE probability (14.5%). As V/P scintigraphy is a very sensitive and non-aggressive method, it is our opinion that it should be included in PE diagnosing as a "screening" method, because the scanning results greatly influence further therapeutical and diagnostic treatment of the patient.
对57例疑似肺栓塞（PE）的患者进行了62次通气灌注（V/P）闪烁扫描。本研究的目的是展示V/P闪烁扫描的结果和我们的初步经验，并指出该研究的一些特点。静脉注射99mTc MAA后进行灌注闪烁扫描。如果结果为阳性，则在吸入99mTc DTPA气雾剂后立即进行通气扫描。根据两项检查结果的比较，将患者分为四组：正常结果（8.1%的患者）、低度（54.8%）、中度（22.6%）和高度PE可能性（14.5%）。由于V/P闪烁扫描是一种非常敏感且无创的方法，我们认为它应作为一种“筛查”方法纳入PE诊断，因为扫描结果对患者的进一步治疗和诊断有很大影响。
