HEPATOBILIARY SCANNING WITH TC-99M-PIPIDA IN ACUTE CHOLECYSTITIS
HEPATOBILIARY SCANNING WITH TC-99M-PIPIDA IN ACUTE CHOLECYSTITIS
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DOI：
10.1148/radiology.142.1.7053532
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发表时间：
1982-01-01
期刊：
影响因子：
19.7
通讯作者：
MELMED, JR
中科院分区：
文献类型：
--
作者：
MAURO, MA;MCCARTNEY, WH;MELMED, JR
95例临床怀疑为急性胆囊炎的患者行99mTc-PIPIDA （N-（对异丙基乙酸乙酯）亚氨基二乙酸酯）肝胆扫描。29例患者扫描呈阳性（胆囊未见，胆总管和肠道可见）；其中25例（86%）为外科证实的急性胆囊炎，4例（14%）为慢性胆囊炎。25例急性胆囊炎患者中有5例有结石性疾病。63例患者胆囊显像阴性；18例（29%）患有慢性胆囊炎，45例（71%）随后发现有非胆道疾病。在胆总管结石和慢性胆囊炎患者中获得了三个不确定的研究（胆囊和肠道未显像）。在评估急性胆囊炎时，99mTc-PIPIDA肝胆扫描的敏感性为100%，特异性为94%。
Ninety-five patients with clinically suspected acute cholecystitis underwent hepatobiliary scanning with 99mTc-PIPIDA (N-(p-isopropylacetanilide)iminodiacetate). A positive scan (nonvisualization of the gallbladder with visualization of the common bile duct and gut) was found in 29 patients; 25 of them (86%) had surgically proven acute cholecystitis and 4 (14%) had chronic cholecystitis. Five of the 25 with acute cholecystitis had acalculous disease. A negative examination (gallbladder visualization) occurred in 63 patients; 18 (29%) had chronic cholecystitis and 45 (71%) were subsequently found to have nonbiliary disease. Three indeterminate studies (nonvisualization of the gallbladder and gut) were obtained in patients with choledocholithiasis and chronic cholecystitis. In the evaluation of acute cholecystitis, the 99mTc-PIPIDA hepatobiliary scan was 100% sensitive and 94% specific.