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1. 上海医科大学附属中山医院
2. 上海医科大学附属中山医院,上海,200032
纸质出版日期:1992-11-01
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[1]陈绍亮,陈雪芬,金刚,赵惠扬,王吉耀,刘厚钰,徐维刚.无创伤性诊断门静脉高压方法学探索[J].核技术,1992(11):641-645.
Chen Shaoliang Chen Xuefen Jin Gang Zhao Huiyang Wang Jiyao Liu Houyu Xu Weigang. A study of radionuclide noninvasive method for the evaluation of portal circulation[J]. Nuclear techniques, 1992, (11): 641-645.
首创了用
99m
Tc-MIBI经肛门直肠给药测定门静脉循环的核医学方法。提出以心前区与肝区放射性之比(H/L值)及经心脏分流的份额(分流指数SI值)作为衡量门脉分流的指标。动物模型实验证实该方法的可行性。正常对照组8例的H/L平均值为0.21±0.08;SI平均值为0.17±0.06。门脉性肝硬化患者H/L平均值为1.12±0.18;SI平均值为0.54±0.07。经t检验证明该两项指标二组之间差异均有非常显著意义(P
<
0.01)。与手术测压结果相对照
证明这些指标的准确性(r=0.93)。表明本方法学具有定量门静脉压力的潜在可能。
A new method for evaluating portal systemic circulation was presented. Following transrectal administration of 99mTc - MIBI it was feasible to detect the presence of portasy-atemic shunting in both animal and patient studies. The heart -liver ratio (H/L ratio) and the portosystemic shunt index (SI) in normal controls were 0. 21±0.08 and 0. 17 ± 0. 06. Whereas in patients of liver cirrhosis with portal hypertension were 1. 12 ± 0. 18
and 0. 54 ± 0. 07 respectively. And showed a significant difference (p<0. 01) between normal and cirrhosis group. A good correlation between the H/L
SI and the portal pressure measurement during operation (r = 0. 93) was also found. Thereby it seems that portasystemic shunting can be quantified with this radionuclide noninvasive method .
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