婴儿梗阻性黄疸放射性核素动态显像的应用与临床治疗观察

Clinical Treatment of Obstructive Jaundice Infant Diagnosed by Radionuclide Imaging

对已诊断为梗阻性黄疽的患儿利用放射性核素对肝、胆及肠道进行动态显像检查,用以鉴别梗阻性质,指导临床治疗。12例患几年龄28天至5个月,均血清胆红素持续升高,肝脾肿大。5例肠道核素显像均为胆汁瘀滞型黄疸。12例分别经药物或手术治疗,病理检查证实符合核素显像诊断。通过核素显像检查以肠道是否显像来鉴别梗阻性黄疸的性质及协助临床选择相应的治疗方法具有安全、可靠、实用性。同时讨论本组病儿手术治疗情况及预后。

The method of radionuclide imaging in liver,gall bladder and intestines had been used to infants suffered from obstructive jaundice. This method can be used to diagnose the type of obstructive jaundice,and to direct clinical therapy. There were 12 cases that were testified to be suffered from obstructive jaundice. Their age ranged from 28 days to 5 months. The serum bilirubin levels continually increased. These cases all had hepatomegaly and splenomegaly. Five of them had been checked by radionuclide imaging. These 12 cases were testified by medicine,operation and pathology. The method of radionuclide imaging can be used to diagnose the character of obstructive jaundice and help to choose suitable therapy. This method of radionuclide imaging is safe, reliable and practical for differential diagnosis.