Grüntzig J, Schicha H, Kiem J, Becker V, Feinendegen L E
Klin Monbl Augenheilkd. 1977 May;170(5):713-7.
For the investigation on the lymph drainage from the orbita 99mTc-microcolloid, 99mTc-albumin and 198Au-colloid have been injected into the retrobulbar space of 24 rabbits. Measurements of the activity's distribution have been made in vivo with an Anger type camera (pho-Gamma-IV Hp, Searle Nuclear Chicago) and in vitro after section with a sodium iodine crystal well counter (Clinimat-200, Picker). A significant concentration of the activity could be observed for the most part in the equilateral Lymphonoduli cervicales profundi and superficiales and for the less part also in the equilateral Lymphonoduli mandibulares and contralateral Lymphonoduli cervicales profoundi. Furthermore significant activities could be pointed out in the optic nerves as well as in the contralateral retrobulbar space. The data substantiate a lymph drainage from the orbita as well as a partly reverse "prelymphatic-lymphatic" flow and are of importance for discussions about lymphostatic ophthalmopathy and sympathetic ophthalmitis. For application on man 99mTc-microcolloid (Lymphoscint) shoud be preferred, because with this tracer 1. the lymph drainage can be measured quantitatively quite exactly by extern measurement with the Anger-camera, 2. the allowable radiation dosis for the lens is lying between 0.5-1.0 rad/mCi.
为了研究眼眶的淋巴引流情况,已将99mTc - 微胶体、99mTc - 白蛋白和198Au - 胶体注入24只兔子的球后间隙。用安格型相机(pho - Gamma - IV Hp,塞尔核芝加哥公司)在活体上测量活性分布,并在切片后用碘化钠晶体井型计数器(Clinimat - 200,皮克公司)在体外进行测量。大部分活性可在颈深和颈浅淋巴结中显著聚集,少部分也在颌下淋巴结和对侧颈深淋巴结中聚集。此外,在视神经以及对侧球后间隙中也可指出有显著活性。这些数据证实了眼眶的淋巴引流以及部分逆向的“淋巴管前 - 淋巴管”流动,对于有关淋巴性眼病和交感性眼炎的讨论具有重要意义。对于人体应用,应首选99mTc - 微胶体(Lymphoscint),因为使用这种示踪剂:1. 可以通过用安格相机进行外部测量相当准确地定量测量淋巴引流;2. 晶状体的允许辐射剂量在0.5 - 1.0拉德/毫居里之间。