甲状旁腺闪烁扫描术在甲状旁腺腺瘤术前定位中的价值。关于138例检查的研究
[Value of parathyroid scintigraphy in preoperative localization of parathyroid adenoma. Study apropos of 138 tests].
作者信息
Flament J B, Avisse C, Schvartz C, Patey M, Launay P, Pluot M, Delisle M J, Liehn J C
机构信息
Service de Chirurgie Générale et Digestive, Hôpital Robert-Debré, Reims.
出版信息
Chirurgie. 1993;119(9):516-23; discussion 524.
The authors have studied, about a total of 138 exams, the value of parathyroid nuclide scan. All the patients, who had primary hyper parathyroidism, have been operated upon. The results of parathyroid scintigraphy have been compared to the results of surgical exploration. Overall sensibility of the exam has been 80%, better with the MIBI (89%) than with the Thallium (78%). The specificity has also been better with the MIBI (95%) than with the Thallium (87%) with a global result of 88%). Computerized treatment of images with automatized subtraction especially studied in Institut Jean-Godinot, Rheims, explain the quality of these results.
作者共研究了138例甲状旁腺核素扫描的价值。所有原发性甲状旁腺功能亢进患者均接受了手术治疗。将甲状旁腺闪烁显像的结果与手术探查的结果进行了比较。该检查的总体敏感性为80%，甲氧基异丁基异腈（MIBI）检查的敏感性（89%）优于铊（78%）。甲氧基异丁基异腈检查的特异性（95%）也优于铊检查（87%），总体结果为88%。在兰斯的让 - 戈迪诺研究所特别研究的自动减法图像计算机处理解释了这些结果的质量。
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