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本文作者回顾性分析了临床上疑有急性胆囊炎的218例患者的肝胆系统检查结果,发现在肝胆γ闪烁显像中,肝实质内与胆囊窝相邻的区域出现轮圈状放射性增高(轮圈征)是急性胆囊炎的一种重要指征。这种指征可以缩短完成肝胆系统闪烁显像所需的时间。分析的218例为1982年6月到1984年5月在该院进行过肝胆系统检查且临床上疑有急性胆囊炎的患者。218例中有39例有或无急性胆囊炎的病理学证据。在该研究中,急性胆囊炎的病理学标准为嗜中性白细胞浸润、坏死、出血或胆囊壁的水肿。显像剂是强度为148MBq的~(99m)Tc-DISIDA。
The authors retrospectively analyzed the results of hepatobiliary examination in 218 patients with clinically suspected acute cholecystitis and found that there was rim-like radioactivity in the region of the liver parenchyma adjacent to the gallbladder fossa in the hepatobiliary gamma scintigraphy Circle sign) is an important indicator of acute cholecystitis. This indication can shorten the time required to complete the hepatobiliary system scintigraphy. 218 cases analyzed were patients with hepatobiliary system examination in the hospital from June 1982 to May 1984 and clinically suspected acute cholecystitis. Thirty-nine of the 218 patients had histopathologic evidence of acute cholecystitis. In this study, the pathological criteria for acute cholecystitis were neutrophil infiltration, necrosis, bleeding or edema of the gallbladder wall. The imaging agent is ~ (99m) Tc-DISIDA with an intensity of 148 MBq.