Chiffoleau S, Chatal J F, Talmant C, Vasseur F, Soulillou J P
Pathol Biol (Paris). 1980 Mar;28(3):155-9.
The authors report their experiments relative to the advantage of using gallium 67 scanning in the diagnosis of suppurative lesions in renal allograft recipients. Nineteen cases suggesting abscess were analyzed. In 7 cases in which abnormal isotope uptake was noted, a suppuration was detected in the area where the gallium 67 had accumulated. In 2 cases, the abnormal image corresponded to the location of a healing drained abscess, and, in 1 case of pathological uptake at the level of the graft, it was determined that the cause was chronic rejection without suppurative lesion. In 9 cases in which no abnormal focus of uptake was noted, the symptomatology suggesting abscess was eventually attributed to nonsuppurative causes (rejection, urinary fistula, etc.). It is concluded that gallium 67 scanning is a useful means of detecting suppurations in immunodepressed patients undergoing treatment with steroids which prevent the usual signs of suppuration from appearing. Generally, it can be said that diagnostic ultrasound, performed with respect to the area of abnormal gallium 67 uptake, permits optimum determination of the possibilities of an abscess existing.
作者报告了他们关于使用镓67扫描在诊断肾移植受者化脓性病变方面优势的实验。分析了19例提示脓肿的病例。在7例发现同位素摄取异常的病例中，在镓67积聚的区域检测到化脓。在2例中，异常图像对应于已引流愈合脓肿的位置，在1例移植部位出现病理性摄取的病例中，确定病因是慢性排斥反应且无化脓性病变。在9例未发现摄取异常灶的病例中，提示脓肿的症状最终归因于非化脓性原因（排斥反应、尿瘘等）。得出的结论是，镓67扫描是检测正在接受类固醇治疗的免疫抑制患者化脓情况的有用手段，类固醇会阻止化脓的常见体征出现。一般来说，可以说针对镓67摄取异常区域进行的诊断性超声检查，能够最佳地确定存在脓肿的可能性。
