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^(99m)Tc-EHIDA肝胆显像和十二指肠引流液胆红素测定对婴儿黄疸的鉴别诊断 被引量:10

Differentiation of infantile jaundice with^(99m)Tc-EHIDA hepatobiliary scintigraphy and determination of bilixanthine from duode- nal drainage
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摘要 核素肝胆显像结合十二指肠引流液胆红素含量测定,为婴儿黄疸提供更有效的鉴别诊断方法。33例婴儿黄疸患儿均经手术、术中肝活检及临床随访证实,行(99m)~Tc-亚氨基二乙酸(EHIDA)肝胆显像和十二指肠引流液胆红素含量测定。(99m)~Tc-EHIDA 肝胆显像诊断胆道闭锁的敏感性为100%,特异性为72.7%。十二指肠引流液胆红素含量测定则分别为100%和94.45%。核素肝胆显像方法灵敏、简单、安全、无创伤,对肠道不显影患儿再行十二指肠引流液胆红素含量测定,可提高诊断的特异性。 PURPOSE The purpose of this study was to develop an effective diagnostic method for infantile jaundice.METH- ODS ^(99m)Tc-EHIDA hepatobiliary scintigraphy and determination of bilixanthine from duodenal drainage were carried out in 33 in- fants with persistent jaundice.The final diagnosis was confirmed by surgical operation,pathology or clinical follow-up.RESULTS For diagnosing biliary atresia,the sensitivity and specificity of scintigraphy were 100% and 72.7% respectively and those of bilix- anthine measurement were 100% and 95.5%.CONCLUSIONS Hepatobiliary seintigraphy may he a sensitive,simple,safe and noninvasive method for differentiating infantile jaundice.Duodenal bilixanthine determination may improve the specificity in the case without intestinal radioactivity in scintigram.
出处 《中华核医学杂志》 CSCD 北大核心 1996年第1期41-43,共3页 Chinese Journal of Nuclear Medicine
关键词 新生儿黄疸 诊断 放射性核素 肝胆显像 胆红素 Jaundice neonatal Bile pigments Duodenum Drainage Liver Biliary tract Radionuclide imaging Imino acids
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  • 1李穗生,中华小儿外科杂志,1987年,8卷,327页
  • 2管昌田,国外医学核医学与放射医学分册,1984年,8卷,233页

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