Williams J A, Baker R J, Walsh J F, Marion M A
Surg Gynecol Obstet. 1977 Apr;144(4):525-30.
The diagnostic accuracy of biliary scanning using 99mTc-pyridoxylideneglutamate has been determined in a series of 51 surgically jaundiced patients. This noninvasive technique was found to be safe, reliable and universally applicable in all instances of jaundice, regardless of the serum bilirubin value or prothrombin time. The results were found to compare favorably with those of other investigative procedures. It is suggested that the 99mTc-pyridoxylideneglutamate biliary scan is most advantageously carried out after clinical assessment and full biochemical evaluation of the patient. The scan result will indicate the next logical step in the management of the patient whether it be endoscopic retrograde cholangiopancreatography, percutaneous transhepatic cholangiography, biopsy of the liver or laparotomy.
在一系列51例手术性黄疸患者中，已确定使用99mTc - 吡哆醛谷氨酸进行胆道扫描的诊断准确性。这种非侵入性技术被发现是安全、可靠的，并且普遍适用于所有黄疸病例，无论血清胆红素值或凝血酶原时间如何。结果发现与其他检查方法相比具有优势。建议在对患者进行临床评估和全面生化评估后，最有利地进行99mTc - 吡哆醛谷氨酸胆道扫描。扫描结果将指示患者治疗的下一步合理步骤，无论是内镜逆行胰胆管造影、经皮肝穿刺胆管造影、肝脏活检还是剖腹手术。
