Loguercio C, Taranto D, De Sio I, Bianchi L, Salvatore M, Del Vecchio Blanco C, Coltortí M
I Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.
Minerva Gastroenterol Dietol. 1991 Apr-Jun;37(2):91-6.
This study aimed to measure in semiquantitative terms the arterial-venous ratio of the portal flow using a scintigraphic technique, by means of a simple intravenous injection of a 99mTcDiethylHIDA bolus, a method which was found to be extremely simple and non-invasive, with a good degree of repeatibility. The percentage of arterialisation of the portal flow was found to be higher in cirrhotic patients compared to non-hepatopathic subjects, and among cirrhotic patients it was correlated with the severity of disease, the presence and degree of esophageal varices, and the presence of porto-systemic shunts, assessed using the ammonium chloride test.
本研究旨在通过简单静脉注射99mTc二乙基亚氨基二乙酸(99mTcDiethylHIDA)团注,采用闪烁扫描技术以半定量方式测量门静脉血流的动静脉比,该方法极其简单且无创,具有良好的可重复性。结果发现,与非肝病患者相比,肝硬化患者门静脉血流的动脉化百分比更高,并且在肝硬化患者中,其与疾病严重程度、食管静脉曲张的存在及程度以及使用氯化铵试验评估的门体分流的存在相关。