Sostre S, Kalloo A N, Spiegler E J, Camargo E E, Wagner H N
Division of Nuclear Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.
J Nucl Med. 1992 Jun;33(6):1216-22.
The ideal noninvasive test of sphincter of Oddi dysfunction (SOD) does not exist and the diagnosis of patients with postcholecystectomy pain often relies on invasive procedures. In this paper we describe a scintigraphic test for SOD: the scintigraphic score. This score combines quantitative and visual criteria for interpretation of hepatobiliary scans. Twenty-six consecutive postcholecystectomy patients underwent hepatobiliary imaging, ERCP, and sphincter manometry. Twelve patients had SOD and 14 had normal sphincters determined by clinical findings, ERCP, and manometric studies. All patients with normal sphincter had scores of 0-4, while patients with SOD had values of 5-12 for a perfect sensitivity and specificity of 100%. Hepatobiliary scans scored in this fashion may become the noninvasive test of choice to screen postcholecystectomy patients with suspected SOD.
目前尚不存在理想的无创检测Oddi括约肌功能障碍（SOD）的方法，胆囊切除术后疼痛患者的诊断往往依赖于侵入性检查。在本文中，我们描述了一种用于SOD的闪烁扫描检测方法：闪烁扫描评分。该评分结合了用于解释肝胆扫描的定量和视觉标准。连续26例胆囊切除术后患者接受了肝胆成像、内镜逆行胰胆管造影（ERCP）和括约肌测压。根据临床检查结果、ERCP和测压研究，12例患者患有SOD，14例患者括约肌正常。所有括约肌正常的患者评分为0 - 4分，而患有SOD的患者评分为5 - 12分，灵敏度和特异性均达到100%。以这种方式进行评分的肝胆扫描可能会成为筛查疑似SOD的胆囊切除术后患者的首选无创检测方法。
