Suarez C A, Block F, Bernstein D, Serafini A, Rodman G, Zeppa R
Ann Surg. 1980 Apr;191(4):391-6. doi: 10.1097/00000658-198004000-00001.
A newer approach to the early diagnosis of acute biliary tract disease is review. Ninety-two patients were evaluated with a new hepatobiliary agent (H.I.D.A/P.I.P.D.A.) for the presence of cystic duct obstruction. Seven patients with suspected acute gall bladder disease were dropped from the study for the lack of pathologic confirmation of the diagnosis. Forty-four of the remaining 85 patients were subsequently operated on and found to have acute cholecystitis. Forty-three of the 44 had cystic duct obstruction demonstrated on H.I.D.A. Scan (one false negative). An additional 23 patients underwent cholecystectomy for chronic disease. In this group, the gallbladder scan was only 43% (10/23) accurate in correctly identifying disease. Eighteen patients with nonbiliary disease had normal scans. The accuracy of ultrasonography and the scan are also compared in a smaller subgroup of 53 patients who had both studies.
回顾一种用于急性胆道疾病早期诊断的更新方法。使用一种新型肝胆显像剂（H.I.D.A/P.I.P.D.A.）对92例患者进行评估，以确定是否存在胆囊管梗阻。7例疑似急性胆囊炎的患者因缺乏诊断的病理证实而被排除在研究之外。其余85例患者中有44例随后接受了手术，发现患有急性胆囊炎。44例中的43例在H.I.D.A.扫描中显示有胆囊管梗阻（1例假阴性）。另外23例患者因慢性疾病接受了胆囊切除术。在这组患者中，胆囊扫描正确识别疾病的准确率仅为43%（10/23）。18例非胆道疾病患者的扫描结果正常。还在一个53例同时进行了两项检查的较小亚组中比较了超声检查和扫描的准确性。
