Berquist T H, Nolan N G, Stephens D H, Carlson H C
J Nucl Med. 1976 Jun;17(6):465-9.
Numerous reports in the recent literature have questioned the value of abdominal scanning with pertechnetate in the diagnosis of Meckel's diverticulum. In an attempt to evaluate further the specificity of pertechnetate in this condition, the clinical data and scintigrams of 100 patients with suspected Meckel's diverticulum were reviewed. The scintigram correctly identified Meckel's diverticulum before operation in seven of eight patients. One false-negative study occurred in 33 patients who underwent laparotomy. Conditions suggested as possible causes of false-positive studies (hydronephrosis, arteriovenous malformations, and intussusception) were found to give negative scans.
近期文献中的众多报告对使用高锝酸盐进行腹部扫描在梅克尔憩室诊断中的价值提出了质疑。为了进一步评估高锝酸盐在这种情况下的特异性，回顾了100例疑似梅克尔憩室患者的临床资料和闪烁扫描图。闪烁扫描图在术前正确识别出了8例患者中的7例梅克尔憩室。在33例接受剖腹手术的患者中出现了1例假阴性研究。被认为可能导致假阳性研究的情况（肾积水、动静脉畸形和肠套叠）经扫描显示为阴性。
