HIDA扫描在评估外源性胆瘘中的作用。
The role of HIDA scanning in the assessment of external biliary fistulae.
作者信息
McPherson G A, Collier N A, Lavender J P, Blumgart L H
出版信息
Surg Gastroenterol. 1984;3(1):77-80.
Three patients with postoperative external biliary fistula are described. In each, radionuclide 99Tcm HIDA was used to define the anatomy of the fistula. The extent of the fistula and the presence of distal obstruction to bile flow could also be determined. This information was used to predict the likelihood of spontaneous fistula closure. HIDA scanning is a useful noninvasive alternative to other investigations, such as fistulography and cholangiography, which do not always provide useful information. The results of HIDA scanning can aid the clinical decision on the need for surgical intervention to correct an external biliary fistula.
本文描述了3例术后发生外胆管瘘的患者。对每例患者均使用放射性核素99锝-二乙基乙酰苯胺亚氨基二乙酸（99Tcm HIDA）来明确瘘管的解剖结构。还可确定瘘管的范围以及胆汁流动的远端梗阻情况。这些信息用于预测瘘管自发闭合的可能性。HIDA扫描是一种有用的非侵入性检查方法，可替代瘘管造影和胆管造影等其他检查，因为后者并不总能提供有用信息。HIDA扫描的结果有助于临床决定是否需要进行手术干预以纠正外胆管瘘。
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