黄志华,董永绥,吴华,赵明.99Tcm-EHIDA肝胆显像对婴儿持续性黄疸的鉴别诊断价值探讨[J].中国医学影像技术,2003,19(9): |
99Tcm-EHIDA肝胆显像对婴儿持续性黄疸的鉴别诊断价值探讨 |
Differentiation of Infantile Persistent Jaundice with 99Tcm-EHIDAHepatobiliary Scintigraphy |
投稿时间:2003-05-17 |
DOI: |
中文关键词: 黄疸 新生儿 胆道 胆道闭锁 放射性核素显像 |
英文关键词:Jaundice Infants Biliary tract Biliary atresia Radionuclide imaging |
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中文摘要: |
目的 探讨99Tcm-EHIDA肝胆显像对婴儿期持续性黄疸鉴别诊断的意义。方法 应用SPECT仪对212例15d~60d持续性阻塞性黄疸进行肝胆核素显像和十二指肠引流液检查。结果 核素肝胆显像对EHBA诊断特异性100%(86/86),诊断的正确性为89.1%(189/212),对IHS诊断的敏感性为81.7%(103/126)。结论 核素肝胆显像联合十二指肠液检查能正确鉴别EHBA与IHS。 |
英文摘要: |
Objective To investigate the value of 99Tcm-EHIDA hepatobiliary scintigraphy in the differential diagnosis between infantile hepatitis syndrome and biliary atresia. Methods 99Tcm-EHIDA hepatobiliary scintigraphy in combination with duodenal fluid examination were used to evaluate in 212 infants with persistent infantile jaudice. Results For diagnosing biliary atresia, the specificity and accuracy of scintigraphy were 100% and 89.1%, for diagnosing infantile hepatitis syndrome, the sensitivity was 81.7%. Conclusion Hepatobliary scintigraphy in combination with exmenation of duodenal fluid is of value to the differential diagnosis between infantile hepatitis syndrome and biliary atresia. |
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