锝-99m亚氨基二乙酸（IDA）肝胆闪烁显像在急性非结石性胆囊炎中的作用。

The role of technetium-99m iminodiacetic acid (IDA) cholescintigraphy in acute acalculous cholecystitis.

作者信息

Weissmann H S, Berkowitz D, Fox M S, Gliedman M L, Rosenblatt R, Sugarman L A, Freeman L M

出版信息

Radiology. 1983 Jan;146(1):177-80. doi: 10.1148/radiology.146.1.6681568.

DOI:10.1148/radiology.146.1.6681568

Abstract

Technetium-99m iminodiacetic acid (IDA) cholescintigraphy was performed in 15 patients with acute acalculous cholecystitis. Fourteen of the 15 patients with acute disease had positive findings, indicating the presence of cystic duct or common duct obstruction. One case in which the gallbladder was visualized failed to respond to sincalide stimulation; this was classified as a suggestive finding of disease. The diagnostic accuracy of 99mTc-IDA cholescintigraphy was far superior to the other imaging studies used (8 sonograms, 1 intravenous cholangiogram, 3 oral cholecystograms, 1 percutaneous transhepatic cholangiogram). The 99mTc-IDA study is recommended as the imaging procedure of choice for examining patients with suspected acute acalculous cholecystitis.

摘要

对15例急性非结石性胆囊炎患者进行了锝-99m亚氨基二乙酸（IDA）胆闪烁造影检查。15例急性病患者中有14例检查结果呈阳性，提示存在胆囊管或胆总管梗阻。1例胆囊显影的病例对辛卡利特刺激无反应；这被归类为疾病的提示性发现。锝-99m IDA胆闪烁造影的诊断准确性远优于所使用的其他影像学检查（8次超声检查、1次静脉胆管造影、3次口服胆囊造影、1次经皮经肝胆管造影）。推荐将锝-99m IDA检查作为检查疑似急性非结石性胆囊炎患者的首选影像学检查方法。