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上海第二医科大学附属瑞金医院
收稿日期:1985-05-14,
纸质出版日期:1986-09
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张冀先, 张圣国, 朱承谟, 等. 应用99mTc-EHIDA诊断胆汁返流及阻塞性黄疸的探讨[J]. 核技术, 1986,09(9):37-39,61.
Jixian Zhang, Shengguo Zhang, Chengmo Zhu, et al. Application of 99mTc-EHIDA in diagnosis of enterogastric bile reflux and obstructive jaundice[J]. Nuclear techniques, 1986, 09(9): 37-39,61.
七十年代以来,
99m
Tc标记的肝胆显象剂取代了
131
I标记的玫瑰红。目前,有两类肝胆显象剂,一类是
99m
Tc-吡哆醛氨基酸类,另一类是
99m
Tc-乙酰苯胺亚氨二醋酸类衍生物。后者肝脏摄取快,肾脏摄取少,肝胆系统显影清晰,因此应用较广泛,如HIDA(二甲基乙酰苯胺亚氨二醋酸)、EHIDA(二乙基乙酰苯胺亚氨二醋酸)等已在临床应用多年
[1]
。现报道EHIDA对5千例胆汁返流及阻塞性黄疸病人的应用结果。
This paper reported a new scintigraphy for 36 patients with enterogastric bile reflux
and 18 patients with obstructive jaundice.
99m
Tc-EHIDA scintigraphy used in evaluation of diagnosis of two kinds of patients were discussed. 20 of 36 patients with enterogastric bile reflux appeared positive results which associated with severe symptoms and pathological changes. It was sure that this method is useful in diagnosis of patients with enterogastric bile reflux. In addition
we discussed this method used in differential diagnosis of obstructive jaundice. Our studies appeared that this method is a simple
safe
non-invasive and highly physiological.
许苏民 等 , 中华核医学杂志 : 5 , 21 ( 1985 )。
R.S. Fisher , Gastroenterology , 70 , 3 , 301 ( 1976 ).
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