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利用99m锝-锡胶体标记粒细胞对术后腹腔脓肿进行定位诊断及鉴别诊断

[Localization diagnosis and differential diagnosis of postoperative intraperitoneal abscesses using 99m technetium-stannum-colloid-marked granulocytes].

作者信息

Koch B, Wolf N, Schwaiger C, Farthmann E H, Schroth H J, Berberich R, Wilhelm H, Oberhausen E

出版信息

Chirurg. 1982 Mar;53(3):149-53.

PMID:7067536
Abstract

Occult intraperitoneal abscesses are difficult to locate and dispose of. Therefore, a method of examination is needed that is specific, can be used at any time, is not expensive, and yields early results within 2-3 h. This seems possible with a new methods of examination. 99mTc-Sn colloid was used to label autologous polymorphonuclear leukocytes which, when reinjected, emigrate to the site of the suspected abscess. Standard scintigraphy localizes the labeled inflammatory cells. In 32 surgical patients, 34 scans were performed with good results (controlled by greyscale ultrasound); 17 (53.1%) scans represented intraperitoneal abscesses; 3 (9.4%) scans demonstrated true positive extra-abdominal inflammations.

摘要

隐匿性腹腔内脓肿难以定位和处理。因此,需要一种特异性强、可随时使用、成本不高且能在2 - 3小时内得出早期结果的检查方法。一种新的检查方法似乎可以做到这一点。使用99mTc - Sn胶体标记自体多形核白细胞,重新注入后,这些白细胞会迁移到疑似脓肿部位。标准闪烁扫描可对标记的炎症细胞进行定位。对32例外科手术患者进行了34次扫描,结果良好(由灰阶超声控制);17次(53.1%)扫描显示为腹腔内脓肿;3次(9.4%)扫描显示为腹外真性炎症。

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