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上海交通大学附属第六人民医院核医学科,上海,200233
Published:01 January 2007
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[1]于建芳,朱瑞森,金常青,丁慈德.~(99m)Tc-SC动态显像定位诊断41例乳糜尿患者的临床研究[J].核技术,2007(01):57-60.
Clinical study of 99mTc-SC dynamic imaging for diagnosis of 41 cases of chyluria[J]. Nuclear techniques, 2007, (1): 57-60.
研究99mTc-SC动态显像定位诊断乳糜尿的显像图类型与特点及其临床价值。41例肉眼乳糜尿患者
年龄16-65岁(平均41.7岁)
男性33例
女性8例。41例病例全经膀胱镜检查
其中33例经手术证实
8例无手术结果。99mTc-SC动态显像方法:在双下肢足趾问蹼皮下注射99mTc-SC各3.7×108Bq
同时使用GE公司VG Hawkeye型SPECT作动态显像。1、双侧乳糜肾显像图表现:动态显像早期双肾或肾盂同时显影
此时膀胱内无放射性。2、单侧乳糜肾显像图表现有多种:①早期显像见单侧肾显影;②早期显像仅见单侧肾盂显影;③早期显像见患侧髂淋巴管增粗显影。99mTc-SC动态显像是一种高灵敏、无创伤性定位诊断乳糜尿的方法
帮助临床诊断是双侧乳糜肾还是单侧乳糜肾及来自何侧
根据单侧乳糜肾显像图表现类型可评估乳糜尿的程度。99mTc-SC动态显像诊断乳糜尿是一种简便、灵敏、无创伤性的定位诊断乳糜尿方法。
The purpose of this study was to evaluate 99mTc-SC dynamic imaging for diagnosis of chyluria.Forty-one nake eye chyluria patients who went through cystoscopy were observed.Age ranged from 16-65 a(average 41.7 a).Thirty-three were males and eight females.Bilaterial injection of 3.7×108Bq 99tc-SC was made subcutanously into the inter-toe web
and dynamic imaging was carried out using VG Hawkeye SPECT(GE).Classification of the imaging:(a)bilateral chyluria kidney:bilateral kidney or renal pelvis was imaged in early dynamic imaging;and(b)unilateral chyluria kidney
which Can be divided into three types:(1)unilateral kidney was imaged in early imaging;(2)only unilateral renal pelvis was shown in early imaging;(3)iliae lymph vessels showed enlargement rapidly on the diseased side.Since 99mTc-SC dynamic imaging is higher sensitive and non-invasive in the diagnosis of chyluria
it is a great help to differential diagnosis for bilateral chyluria kidney or unilateral chyluria kidney
and according to the classification of unilateral chyluria kidney imagings the degree of chyluria can be evaluated.
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