碘-131 玫瑰红排泄试验并未过时。

The I-131 rose bengal excretion test is not dead.

作者信息

Antico V F, Denhartog P, Ash J M, Gilday D L, Houle S

出版信息

Clin Nucl Med. 1985 Mar;10(3):171-2. doi: 10.1097/00003072-198503000-00007.

DOI:10.1097/00003072-198503000-00007

Abstract

One hundred and thirty I-131 Rose Bengal Excretion Studies (RBI) were performed on 84 patients over nine years. In 90% (56/60) of cases with biliary atresia, the 72-hour RBI was less than or equal to 7%. In only 12.5% (3/24) of cases with neonatal hepatitis was the 72-hour RBI less than or equal to 7%. The accuracy of the test was 91% with a specificity of 88%. Thirty patients later were studied following a Kasai procedure. The RBI test reliably predicted the patency of the anastomosis. The authors conclude that the 72-hour RBI is a reliable test in the diagnosis of biliary atresia and in the documentation of biliary patency following surgery, provided adequate care is taken in stool collection and measurement.

摘要

在九年时间里，对84名患者进行了130次I-131玫瑰红排泄研究（RBI）。在90%（56/60）的胆道闭锁病例中，72小时RBI小于或等于7%。在仅12.5%（3/24）的新生儿肝炎病例中，72小时RBI小于或等于7%。该测试的准确率为91%，特异性为88%。30名患者随后接受了葛西手术。RBI测试可靠地预测了吻合口的通畅情况。作者得出结论，只要在粪便收集和测量过程中采取足够的护理措施，72小时RBI是诊断胆道闭锁以及记录术后胆道通畅情况的可靠测试。