Champetier J, Busquet G, Letoublon C, Vigneau B, Yver R, Rambeaud J J
J Chir (Paris). 1984 Aug-Sep;121(8-9):495-500.
Thirty six hepatobiliary scintigraphies with 99mTc-Dimethyl IDA were performed in thirty patients with an hepaticojejunostomy one month to ten years after surgery. Twenty patients underwent surgery for biliary disease and ten for duodenal or pancreatic disease. In most cases (twenty three), the radionuclide study has been systematically performed to assess the scintigraphic pattern of a normal hepaticojejunostomy. In seven cases this pattern was abnormal. Four times the biliary enteric anastomosis was involved. Three times it showed an abnormal liver morphology. After an hepaticojejunostomy, hepatobiliary scintigraphy seems to be the only examination providing dynamic information for the biliary enteric anastomosis and the intestinal loop. But it sometimes is difficult to analyse in all cases, it must be the screening test in patients when symptoms occur after hepaticojejunostomy; but a percutaneous transhepatic cholangiogram cannot always be avoided.
对30例接受肝空肠吻合术1个月至10年的患者进行了36次99mTc - 二甲基亚氨基二乙酸肝胆闪烁显像检查。20例患者因胆道疾病接受手术，10例因十二指肠或胰腺疾病接受手术。在大多数病例（23例）中，系统地进行了放射性核素研究以评估正常肝空肠吻合术的闪烁显像模式。在7例中，这种模式异常。4次涉及胆肠吻合口。3次显示肝脏形态异常。肝空肠吻合术后，肝胆闪烁显像似乎是唯一能为胆肠吻合口和肠袢提供动态信息的检查。但有时在所有病例中分析都很困难，它必须是肝空肠吻合术后出现症状患者的筛查试验；但经皮肝穿刺胆管造影有时无法避免。
