Katzman D O
S Afr Med J. 1976 Aug 14;50(35):1367-70.
Combined scintigraphy of the lung and liver provides a sensitive, simple and non-invasive method of evaluating the subphrenic space. Since the surgical approach is different in subphrenic, subhepatic and intrahepatic abscesses, accurate localisation and recognition of single or multiple abscesses provides the basis for an operative approach which may avoid unnecessary violation and contamination of the peritoneal cavity. The importance of correlation of the scintiscans with companion roentgenograms of the abdomen and chest, and accurate localisation of the diaphragm using serial scanning, is emphasised. Negative good-quality scans reliably rule out subphrenic abscess.
肺和肝脏联合闪烁扫描术提供了一种评估膈下间隙的灵敏、简单且无创的方法。由于膈下、肝下和肝内脓肿的手术入路不同，准确对单个或多个脓肿进行定位和识别可为手术入路提供依据，从而避免不必要地侵犯和污染腹腔。强调了闪烁扫描与腹部和胸部X线片的关联以及使用连续扫描对膈肌进行准确定位的重要性。高质量的阴性扫描可可靠地排除膈下脓肿。
