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《Chinese Journal of Difficult and Complicated Cases》 2017-01
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Perioperative evaluation of cardiac function of lung cancer patients by SPECT

ZHAO Zheng;YANG Xiaoguang;SUChunyong;MA Xiaogang;NIE Xiaojin;REN Libing;Department of Thoracic Surgery,the Handan Central Hospital;  
Objective To investigate the clinical value of single photon emission computed tomography(SPECT)myocardial perfusion imaging in the evaluation of cardiac function in patients with lung cancer during perioperative period.Methods From January 2013 to January 2016,in the Department of thoracic surgery of Handan Cenlral Hospital,surgical treatment of 63 cases of patients with lung cancer,including lobectomy 42 cases,21 cases of lung resection were,enrolled,before and after surgery around 10 d,SPECT myocardial perfusion imaging and echocardiography were performed,compared before and after the operation of different examination methods of left ventricular ejection fraction(LVEF),end diastolic volume(LVEDV),end systolic volume(LVESV) and other indicators' differences.Results Fifty myocardial perfusion images were normal(79.37%) before surgery,34 myocardial perfusion images were normal(53.97%) posl-operative(x~2 =9.143,P =0.002);After surgery,left ventricular ejection fraction(LVEF) compared with before surgery was significantly reduced(t =3.248,P =0.002;t =4.178,P =0.000),the difference between the two groups were statistically significant(t=2.247,P = 0.028);SPECT myocardial perfusion imaging and echocardiography left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV),left ventricular ejection fraction(LVEF) were not statistically significant different(P 0.05).Conclusion SPECT myocardial perfusion imaging to assess cardiac function in perioperative patients with lung cancer is more accurate and objective,and it is worth to be popularized in clinical application.
【Fund】: 河北省邯郸市科学技术研究与发展计划项目(1223108161)
【CateGory Index】: R734.2
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