hda扫描在评估胆外瘘中的作用。

Surgical gastroenterology Pub Date : 1984-01-01
G A McPherson, N A Collier, J P Lavender, L H Blumgart
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引用次数: 0

摘要

本文报道3例术后胆外瘘患者。在每个病例中,放射性核素99Tcm hda用于定义瘘的解剖结构。瘘的范围和远端胆汁流阻塞的存在也可以确定。这些信息被用来预测自发性瘘管关闭的可能性。hda扫描是一种有用的非侵入性替代其他调查,如瘘管造影和胆管造影,这并不总是提供有用的信息。HIDA扫描的结果可以帮助临床决定是否需要手术干预来纠正胆外瘘。
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The role of HIDA scanning in the assessment of external biliary fistulae.

Three patients with postoperative external biliary fistula are described. In each, radionuclide 99Tcm HIDA was used to define the anatomy of the fistula. The extent of the fistula and the presence of distal obstruction to bile flow could also be determined. This information was used to predict the likelihood of spontaneous fistula closure. HIDA scanning is a useful noninvasive alternative to other investigations, such as fistulography and cholangiography, which do not always provide useful information. The results of HIDA scanning can aid the clinical decision on the need for surgical intervention to correct an external biliary fistula.

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