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99m锝-二异丙基乙酰胺在一例肝外胆道闭锁病例中的肠道表观排泄。

Apparent gut excretion of Tc-99m-DISIDA in a case of extrahepatic biliary atresia.

作者信息

Williamson S L, Seibert J J, Butler H L, Golladay E S

出版信息

Pediatr Radiol. 1986;16(3):245-7. doi: 10.1007/BF02456297.

DOI:10.1007/BF02456297
PMID:3703601
Abstract

Our patient had DISIDA scan at 39 days of age to exclude biliary atresia. Gut excretion was seen 18 h after injection and the diagnosis of neonatal hepatitis was made. Because of continued elevated liver function values, liver biopsy was performed and demonstrated findings consistent with biliary atresia. Exploratory laparotomy performed 8 days after the scan showed patent cystic duct, bile duct, and gallbladder, but an atretic common hepatic duct. This case is an example of documented biliary atresia demonstrating gut excretion on the DISIDA scan.

摘要

我们的患者在39日龄时进行了二异丙基IDA扫描以排除胆道闭锁。注射后18小时可见肠道排泄,诊断为新生儿肝炎。由于肝功能值持续升高,进行了肝活检,结果与胆道闭锁一致。扫描后8天进行的剖腹探查显示胆囊管、胆管和胆囊通畅,但肝总管闭锁。该病例是一个记录在案的胆道闭锁病例,在二异丙基IDA扫描中显示肠道排泄。

相似文献

1
Apparent gut excretion of Tc-99m-DISIDA in a case of extrahepatic biliary atresia.99m锝-二异丙基乙酰胺在一例肝外胆道闭锁病例中的肠道表观排泄。
Pediatr Radiol. 1986;16(3):245-7. doi: 10.1007/BF02456297.
2
Diagnostic utility of hepatobiliary scintigraphy with 99mTc-DISIDA in neonatal cholestasis.99mTc-DISIDA肝胆闪烁显像在新生儿胆汁淤积症中的诊断效用
J Pediatr. 1987 Jun;110(6):855-61. doi: 10.1016/s0022-3476(87)80396-7.
3
Biliary scintigraphy with DISIDA. A simpler way of showing bile duct patency in suspected biliary atresia.使用二异丙基乙酰胺(DISIDA)进行胆汁闪烁造影。一种显示疑似胆道闭锁时胆管通畅情况的更简单方法。
Arch Dis Child. 1986 Feb;61(2):191-2. doi: 10.1136/adc.61.2.191.
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Biliary atresia and neonatal hepatobiliary scintigraphy.胆道闭锁与新生儿肝胆闪烁扫描术
Clin Nucl Med. 1984 Mar;9(3):121-4. doi: 10.1097/00003072-198403000-00001.
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Diagnosis of biliary atresia with radionuclide hepatobiliary imaging.
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Diagnosis of obstructive jaundice in infants: Tc-99m DISIDA in duodenal juice.婴儿阻塞性黄疸的诊断:十二指肠液中的锝-99m二异丙基乙酰苯胺(DISIDA)
J Nucl Med. 1984 Mar;25(3):360-3.
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Differentiation of jaundice in infancy: an application of radionuclide biliary studies.婴儿期黄疸的鉴别诊断:放射性核素胆道造影的应用
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[Excretion of 99m Tc-DISIDA through the bile ducts in the etiological diagnosis of neonatal cholestasis].[99m锝-二异丙基乙酰苯胺通过胆管排泄在新生儿胆汁淤积病因诊断中的应用]
Arq Gastroenterol. 1995 Apr-Jun;32(2):85-90.
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Hepatobiliary scintigraphy with technetium-99m disofenin in the evaluation of neonatal cholestasis.用锝-99m二异丙基乙酰胺进行肝胆闪烁显像在新生儿胆汁淤积评估中的应用。
J Pediatr Gastroenterol Nutr. 1987 Nov-Dec;6(6):885-91. doi: 10.1097/00005176-198711000-00011.

本文引用的文献

1
Technetium-99m biliary imaging in pediatric surgical problems.
J Pediatr Surg. 1981 Oct;16(5):686-90. doi: 10.1016/s0022-3468(81)80552-0.
2
Effect of phenobarbital on 99mTc-IDA scintigraphy in the evaluation of neonatal jaundice.
Semin Nucl Med. 1981 Jul;11(3):194-204. doi: 10.1016/s0001-2998(81)80004-9.
3
Biliary atresia and neonatal hepatobiliary scintigraphy.胆道闭锁与新生儿肝胆闪烁扫描术
Clin Nucl Med. 1984 Mar;9(3):121-4. doi: 10.1097/00003072-198403000-00001.
4
The prelaparotomy diagnosis of extrahepatic biliary atresia.肝外胆管闭锁的剖腹术前诊断。
Arch Dis Child. 1983 Aug;58(8):591-4. doi: 10.1136/adc.58.8.591.
5
Considerations of the pathogenesis of neonatal hepatitis, biliary atresia and choledochal cyst--the concept of infantile obstructive cholangiopathy.新生儿肝炎、胆道闭锁和胆总管囊肿发病机制的探讨——婴儿阻塞性胆管病的概念
Prog Pediatr Surg. 1974;6:113-39.
6
An evaluation of 99mTc-labeled hepatobiliary agents.99mTc标记的肝胆显像剂的评估
J Nucl Med. 1977 May;18(5):455-61.
7
Surgical jaundice in infancy.婴儿期手术性黄疸
Ann Surg. 1977 Nov;186(5):549-58. doi: 10.1097/00000658-197711000-00001.
8
99M Tc-PIPIDA biliary imaging in children.儿童99M锝-吡哆醛异烟酰腙肝胆显像
Clin Nucl Med. 1979 Aug;4(8):315-24. doi: 10.1097/00003072-197908000-00001.