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