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[家兔眼眶放射性亲淋巴示踪剂198金胶体和99m锝硫胶体的引流(作者译)]

[Drainage of the radioactive lymphotropic tracers 198 Au-colloid and 99m Tc-sulfur-colloid from the orbit in rabbits (author's transl)].

作者信息

Grüntzig J, Kiem J, Becker V, Schwarzhoff V, Feinendegen L E, Schicha H

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1977 Nov 25;204(3):161-75. doi: 10.1007/BF00414844.

Abstract

In order to investigate lymph drainage from the retrobulbar space colloid solutions (198Au-colloid and 99mTc-sulfur-colloid) were injected into the right retrobulbar space of 31 rabbits. The distribution of radioactivity was measured in vitro after dissection with a sodium iodine crystal well counter and in some animals in vivo with the Gamma camera. More than 90% of the applied activity of either colloid solution was found in some animals up to the eighth day post injection in the retrobulbar space and in the liver. The remaining activity was recovered mainly from the regional lymph nodes, due to its smaller particle size higher values were registered in the experiments with 198Au than in those with 99mTc. The highest concentrations with up to 4,6% of the activity were observed in the deep cervical lymph nodes on both sides. Minor concentrations of activity were found ipsilateral in the superficial cervical and mandibular lymph nodes. Furthermore, small but significant activities were demonstrated in the optic nerves as well as in the contralateral retrobulbar space. The present data clearly substantiate the existence of lymph drainage, although a slow one, from the retrobulbar space. Moreover they indicate a reverse prelymphatic-lymphatic flow toward the optic nerves and the contralateral retrobulbar space. These results are of importance in the discussions of lymphostatic ophthalmopathy. The clinical application of this method is desirable; however, at present it is not yet practicable without further studies.

摘要

为了研究球后间隙的淋巴引流情况,将胶体溶液(198Au - 胶体和99mTc - 硫胶体)注入31只家兔的右侧球后间隙。注射后,用钠碘晶体井型计数器在体外解剖后测量放射性分布,在一些动物体内用γ相机进行测量。在注射后的第八天,在一些动物的球后间隙和肝脏中发现,两种胶体溶液中超过90%的注入活性物质仍存在。其余活性物质主要从局部淋巴结中回收,由于198Au的颗粒尺寸较小,在实验中其记录值高于99mTc。两侧颈深淋巴结中观察到最高浓度的活性物质,其活性高达4.6%。在同侧颈浅淋巴结和下颌下淋巴结中发现少量活性物质。此外,在视神经以及对侧球后间隙中也显示出少量但显著的活性。目前的数据清楚地证实了球后间隙存在淋巴引流,尽管引流速度较慢。此外,它们还表明存在一种向视神经和对侧球后间隙的逆向淋巴前 - 淋巴流动。这些结果在讨论淋巴淤积性眼病时具有重要意义。该方法的临床应用是可取的;然而,目前在没有进一步研究的情况下还不可行。

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