张芬茹,施秉银,李积厚,薛建军,高信曜.干燥综合征腮腺核素动态显像的影像特征及应用价值[J].中国医学影像技术,2006,22(1):144~146
干燥综合征腮腺核素动态显像的影像特征及应用价值
Imaging features and application value of parotid radionuclide dynamic imaging in Sjogren's syndrome
投稿时间:2005-09-05  修订日期:2005-10-30
DOI:
中文关键词:  腮腺  干燥综合征  放射性核素显像
英文关键词:Parotid  Sjogren's syndrome  Radionuclide imaging
基金项目:
作者单位E-mail
张芬茹 西安交通大学医学院第一附属医院核医学科, zhangfenru@sohu.com 
施秉银 西安交通大学医学院第一附属医院内分泌科,陕西西安 710061  
李积厚 西安交通大学医学院第一附属医院核医学科,陕西西安 710061  
薛建军 西安交通大学医学院第一附属医院核医学科,陕西西安 710061  
高信曜 西安交通大学医学院第一附属医院核医学科,陕西西安 710061  
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中文摘要:
      目的 探讨干燥综合征腮腺核素动态显像的影像特征及应用价值。方法 所有患者均行腮腺99 TcmO-4 核素和VitC 负荷动态显像,并进行腮腺时间2放射性曲线( TRC) 分析。结果 10 例正常对照者双侧腮腺核素动态显像的系列影像结果与TRC 均正常,40 例干燥综合征患者中,显像结果异常者34 例,异常率85.0 %;排泄率(14.5±7.2) % ,与正常组(46.0±13.0) %比较,P<0.01 。其中双侧腮腺不显影即功能严重受损11例(27.5 %) ,双侧平行性功能轻度和中度受累19例(47.5%),双侧腮腺非一致性功能异常4 例(10.0%) ,双侧腮腺正常显影6 例(15.0%)。结论 核素动态显像是诊断干燥综合征及判断腮腺功能最有价值的方法。
英文摘要:
      Objective To explore the imaging features and application value of parotid radionuclide dynamic imaging in Sjogren's syndrome(SS).Methods Parotid dynamic imaging were performed with 99 TcmO-4 in all patients with SS. Thirty minutes af ter injection 99 TcmO-4,0.3gVit Cwere administered orally as a stimulus. Atime-radioactivity curve(TRC)of each parotid was analysised. Results Both parotids imaging and TRC of radionuclide dynamic scintigraphy were all normal in 10 cases of cont rols. In 40 cases of patient s with SS, 34 cases were abnormal imaging, and the abnormality rate was 85.0%. Parotid excretion rate of the patient s and normal cont rols were(14.5±7.2) % and (46.0±13.0)%, respectively. The difference between them was significant (P<0.01). In all patients,11 cases were seriously damaged of both parotids with no imaging display (27.5%),19 cases were lightly and mildly damaged of both parotids consistency (47.5 %),4 cases were no consistency function abnormal of both parotids (10.0%), 6 cases were normal imaging of both parotids (15.0 %).Conclusion Radionuclide dynamic imaging of parotid is of great value for diagnosing Sjogren's syndrome and parotid function es-timating.
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