기관지확장증 환자에서 환기 폐주사의 임상적 의의

Clinical Significance of $^{99m}Tc-DPTA$ Ventilation Scan in Patient with Bronchiectasis

  • 박춘식 (순천향대학 의학부 내과학교실) ;
  • 백승호 (순천향대학 의학부 내과학교실) ;
  • 어수택 (순천향대학 의학부 내과학교실) ;
  • 나현 (순천향대학 의학부 내과학교실) ;
  • 최득린 (순천향대학 의학부 방사선과학교실) ;
  • 김기정 (순천향대학 의학부 방사선과학교실)
  • Park, Choon-Sik (Department of Internal Medicine, Soon Chun Hyang University, School of Medicine) ;
  • Paek, Sung-Ho (Department of Internal Medicine, Soon Chun Hyang University, School of Medicine) ;
  • Uh, Soo-Taek (Department of Internal Medicine, Soon Chun Hyang University, School of Medicine) ;
  • Na, Hyun (Department of Internal Medicine, Soon Chun Hyang University, School of Medicine) ;
  • Choi, Deuk-Lin (Department of Radiology, Soon Chun Hyang University, School of Medicine) ;
  • Kim, Gi-Jeong (Department of Radiology, Soon Chun Hyang University, School of Medicine)
  • 발행 : 1985.11.30

초록

To evaluate the clinical significance of lung ventilation scan using $^{99m}Tc-DTPA$ in patient with bronchiectasis, we compared the involovement area of bronchogram and lung ventilation scan according to lobar and segmental distribution. There were no correlation between impairment of pulmonary function test and the number of bronchiectatic lobe and segment(p>0.5). Lung ventilation scan showed 66.7% of sensivity, 100% of specificity, ana 91.7% of accuracy according to lobar distribution, and 51.9% of sensivity, 96.9% of specificity, and 88.9% of accuracy according to segmental distribution. These results suggest that lung ventilation scan can be used as diagnostic tool in patient with bronchiectasis in whom bronchogram is not tolerable.

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