腹膜闪烁扫描术和单光子发射计算机断层扫描/计算机断层扫描在诊断腹膜透析患者渗漏中的应用
Peritoneal scintigraphy and SPECT/TC in the diagnosis of leaks in patients on peritoneal dialysis.
作者信息
Tercero Garrido D, Guiote Moreno M V, Rodelo-Haad C, Contreras Puertas P I, Soriano Cabrera S, Albalá González M D
机构信息
Unidad de Gestión Clínica de Medicina Nuclear, Hospital Universitario Reina Sofía, 14004, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica (IMIBIC), Universidad de Córdoba, 14004, Córdoba, Spain.
Unidad de Gestión Clínica de Medicina Nuclear, Hospital Universitario Reina Sofía, 14004, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica (IMIBIC), Universidad de Córdoba, 14004, Córdoba, Spain.
出版信息
Rev Esp Med Nucl Imagen Mol (Engl Ed). 2025 Jan-Feb;44(1):500067. doi: 10.1016/j.remnie.2024.500067. Epub 2024 Sep 29.
OBJECTIVE
To assess the usefulness of peritoneal cavity scintigraphy and the contribution of SPECT/CT in patients on peritoneal dialysis with suspected leak.
METHODOLOGY
An observational case series study is carried out. It consists of a longitudinal, retrospective and descriptive study. 11 patients on peritoneal dialysis were studied and it was realiced a peritoneal cavity scintigraphy test and SPECT/CT to evaluate a peritoneal leak.
RESULTS
In 54,5% of the patients, a positive study of peritoneal leak was obtained. The most frequent localitations were in the abdominal wall at the catheter entry level and the inguinal hernia. In the cases with sintomatology like pain and celullitis of the subcutaneous tract of the cateter the frequent of leak was 100%. There was a change in therapeutic management in patients with a positive study. There was not relevant changes in initial dialysis regimen in patients with a negative study. In this cases, except for one patient who required hemodialysis, all patients experienced clinical improvement.
CONCLUSIONS
Peritoneal scintigraphy and SPECT/CT study are non-invasive techniques that allow an adequate diagnosis and subsequent management of peritoneal leak.
目的
评估腹腔闪烁扫描术的实用性以及SPECT/CT在怀疑有渗漏的腹膜透析患者中的作用。
方法
开展一项观察性病例系列研究。该研究包括一项纵向、回顾性和描述性研究。对11例腹膜透析患者进行了研究，并进行了腹腔闪烁扫描术检查和SPECT/CT检查以评估腹膜渗漏情况。
结果
在54.5%的患者中，获得了腹膜渗漏的阳性检查结果。最常见的部位是导管入口水平的腹壁和腹股沟疝。在出现如导管皮下通道疼痛和蜂窝织炎等症状的病例中，渗漏发生率为100%。检查结果为阳性的患者治疗管理发生了变化。检查结果为阴性的患者初始透析方案没有相关变化。在这些病例中，除了一名需要血液透析的患者外，所有患者病情均有改善。
结论
腹膜闪烁扫描术和SPECT/CT检查是非侵入性技术，可对腹膜渗漏进行充分诊断及后续管理。
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