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单光子发射计算机断层扫描/计算机断层扫描淋巴闪烁造影术有助于确定食管切除术后乳糜漏的部位。

Lymphoscintigraphy with single-photon emission computed tomography/computed tomography is useful for determining the site of chyle leakage after esophagectomy.

作者信息

Kotani Kohei, Kawabe Joji, Higashiyama Shigeaki, Shiomi Susumu

机构信息

Department of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan.

出版信息

Indian J Nucl Med. 2012 Jul;27(3):208-9. doi: 10.4103/0972-3919.112749.

DOI:10.4103/0972-3919.112749
PMID:23919082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3728750/
Abstract

We describe the case of chylothorax after esophagectomy for esophageal carcinoma. Lymphoscintigraphy with Tc-99m-human serum albumin-diethylenetriaminepentaacetic acid showed an abnormal radioisotope accumulation on the left side of the thoracic duct. Single-photon emission computed tomography (SPECT) combined with computed tomography (CT) revealed a hot spot directly on the site at, which the thoracic duct was ligated during surgery, which was the suggested site of chyle leakage. We emphasize that lymphoscintigraphy with SPECT/CT is very useful tool for accurately identifying the site of the chyle leakage.

摘要

我们描述了一例食管癌食管切除术后发生乳糜胸的病例。用锝-99m-人血清白蛋白-二乙三胺五乙酸进行的淋巴闪烁造影显示胸导管左侧有异常放射性同位素聚集。单光子发射计算机断层扫描（SPECT）联合计算机断层扫描（CT）显示，手术中胸导管结扎部位直接有一个热点，这是提示的乳糜漏部位。我们强调，SPECT/CT淋巴闪烁造影是准确识别乳糜漏部位的非常有用的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/3728750/869698768198/IJNM-27-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/3728750/ece5849bcee5/IJNM-27-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/3728750/869698768198/IJNM-27-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/3728750/ece5849bcee5/IJNM-27-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/3728750/869698768198/IJNM-27-208-g002.jpg

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通过单光子发射计算机断层扫描-计算机断层扫描淋巴闪烁造影定位的小乳糜漏
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Lymphoscintigraphy combined with single-photon emission computed tomography-computed tomography (SPECT-CT): A very effective imaging approach for identification of the site of leak in postoperative chylothorax.淋巴闪烁造影术联合单光子发射计算机断层扫描-计算机断层扫描（SPECT-CT）：一种用于识别术后乳糜胸漏出部位的非常有效的成像方法。
Indian J Nucl Med. 2015 Apr-Jun;30(2):177-9. doi: 10.4103/0972-3919.152988.
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Postmastectomy/Axillary Node Dissection Chyloma: The Additional Value of SPECT/CT Lymphoscintigraphy.乳腺癌根治术后/腋窝淋巴结清扫术后乳糜肿：SPECT/CT 淋巴显像的附加价值。
J Breast Cancer. 2014 Sep;17(3):291-4. doi: 10.4048/jbc.2014.17.3.291. Epub 2014 Sep 30.
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Esophagectomy-related thoracic duct injury detected by lymphoscintigraphy with 99mTc-diethylenetriamine pentaacetic acid-human serum albumin: report of a case.通过99mTc-二乙三胺五乙酸-人血清白蛋白淋巴闪烁显像检测到的食管癌切除术后胸导管损伤：病例报告
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