Oshiumi Y, Nakayama C, Morita K, Numaguchi Y, Koga I, Matsuura K
AJR Am J Roentgenol. 1977 May;128(5):769-71. doi: 10.2214/ajr.128.5.769.
Nine cases of congenital choledochal cysts are reported which were correctly diagnosed by 131I-rose bengal or 131I-bromsulphalein (BSP) serial scintigraphy. They were classified by scintigraphic patterns into two types depending on whether biliary obstruction was complete or incomplete. All but two showed incomplete obstruction. The correct diagnosis may be difficult to make by scintigraphy if complete biliary obstruction is present. In such cases the clinical findings and other diagnostic studies, such as angiography or ultrasound, should be carefully considered. Serial scintigraphy with 131I-rose bengal or 131I-BSP is nontraumatic, safe, and provides increased diagnostic accuracy. It is the examination of choice when choledochal cysts are suspected clinically.
报告了9例先天性胆总管囊肿，通过131I-玫瑰红或131I-磺溴酞钠（BSP）系列闪烁扫描得以正确诊断。根据胆管梗阻是完全性还是不完全性，通过闪烁扫描模式将其分为两种类型。除两例外，所有病例均显示不完全梗阻。如果存在完全性胆管梗阻，通过闪烁扫描可能难以做出正确诊断。在这种情况下，应仔细考虑临床发现和其他诊断研究，如血管造影或超声检查。131I-玫瑰红或131I-BSP系列闪烁扫描是非创伤性的、安全的，并且能提高诊断准确性。当临床上怀疑有胆总管囊肿时，它是首选的检查方法。
