核素肺灌注/通气显像可以反映肺部血流与通气功能,间接评价肺栓塞的分布,特别是对判断血流动力学稳定的,疑似肺栓塞患者有极大的应用价值。与其他影像学检查方法相比具有无创,亚肺段栓塞敏感的优势。同时介入治疗的原理及其应用特点对治疗肺栓塞具有重要的临床价值。本文就肺栓塞的核素显像诊断及介入治疗的方法作一综述。
Ventilation-perfusion scintigraphy can reflect the pulmonary function of ventilation and perfusion,then,indirectly assess the distribution of embolism.This technique is especially valuable in evaluating hemodynamic stability in patients with suspected pulmonary embolism.Ventilation-perfusion scintigraphy is superior to other imaging means in clinical practice as it is non-invasive and carries high specificity in detecting sub-segmental embolism.Furthermore,the advantages of interventional therapy are of significant clinical value in treating pulmonary embolism.This paper aims to make a comprehensive review for the ventilation-perfusion scintigraphy diagnosis,as well as the interventional treatment,of pulmonary embolism.