HIDA扫描在胆囊炎患者初始评估中的价值。
The value of HIDA scans in the initial evaluation of patients for cholecystitis.
作者信息
Johnson H, Cooper B
机构信息
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York.
出版信息
J Natl Med Assoc. 1995 Jan;87(1):27-32.
Abstract
One hundred twenty-two consecutive patients who had hepato-iminodiacetic acid (HIDA) scans over a 5-month period were reviewed. These scans were found to have 94% sensitivity, but only 36% specificity for correctly diagnosing pathological variants of cholecystitis. Frequently, HIDA scans were misinterpreted to show common bile duct obstruction (CBDO); only 20% of cases of CBDO suggested on HIDA could be confirmed surgically. Sonography gave 88% to 90% sensitivity and 91% specificity in correctly diagnosing pathological variants of cholecystitis and correctly demonstrated CBDO in 80% of the cases. As first-line studies to evaluate biliary tract disease, HIDA scans are costly and should be eliminated.
摘要
回顾了在5个月期间连续进行肝亚氨基二乙酸（HIDA）扫描的122例患者。这些扫描对胆囊炎病理变异的正确诊断敏感性为94%，但特异性仅为36%。HIDA扫描经常被误判为显示胆总管梗阻（CBDO）；HIDA提示的CBDO病例中只有20%能通过手术得到证实。超声检查对胆囊炎病理变异的正确诊断敏感性为88%至90%，特异性为91%，并在80%的病例中正确显示了CBDO。作为评估胆道疾病的一线检查，HIDA扫描成本高昂，应该摒弃。
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