放射性核素肝胆显像联合十二指肠引流胆红素测定在小儿持续性黄疸鉴别诊断中的价值。

Frontiers of medicine in China Pub Date : 2010-09-01 Epub Date: 2010-08-10 DOI:10.1007/s11684-010-0099-1

Sheng-Xuan Liu, Zhi-Hua Huang

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引用次数: 7

摘要

本研究旨在探讨依替芬宁注射液(99mTc-EHIDA)肝胆显像联合十二指肠引流胆红素测定在小儿肝炎综合征与胆道闭锁鉴别诊断中的价值。采用mtc - ehida肝胆显像联合十二指肠液检查对84例小儿持续性黄疸进行评价。对胆道闭锁的诊断，闪烁显像的敏感性为100%，特异性为74.5%;联合十二指肠液检查的敏感性和特异性分别为100%和100%。综上所述，肝胆造影是一种无创、安全、有价值的检查方法，结合十二指肠液检查对小儿肝炎综合征与胆道闭锁的鉴别诊断具有一定的价值。

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The value of radionuclide hepatobiliary scintigraphy in combination with determination of bilirubin from duodenal drainage in differential diagnosis of infantile persistent jaundice.

The aim of this study was to investigate the value of technetium etifenin injection (99mTc-EHIDA) hepatobiliary scintigraphy in combination with determination of bilirubin from duodenal drainage in differential diagnosis between infantile hepatitis syndrome and biliary atresia. 99mTc-EHIDA hepatobiliary scintigraphy in combination with duodenal fluid examination was used for evaluation in 84 infants with persistent infantile jaundice. For diagnosing biliary atresia, the sensitivity and specificity of scintigraphy were 100% and 74.5%, respectively; the sensitivity and specificity of scintigraphy in combination with duodenal fluid examination were 100% and 100%, respectively. In conclusion, hepatobiliary scintigraphy, which is a noninvasive, safe, valuable examination method, in combination with examination of duodenal fluid, is of value for the differential diagnosis between infantile hepatitis syndrome and biliary atresia.

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Frontiers of medicine in China

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