^(99m)Tc-EHIDA肝胆显像在先天性胆道闭锁诊断中的价值  

Value of ^(99m)Tc - EHIDA Hepatobiliary Scintingraphy on Diagnosis of Congential Biliary Atresia

作　　者：杨吉刚[1] 李春林[1] 邹兰芳[1] 张楠[1] 

机构地区：[1]首都医科大学附属北京友谊医院核医学科,北京100050

出　　处：《实用儿科临床杂志》2005年第10期1050-1051,i0003,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的评价99mTc—EHIDA肝胆显像在先天性胆道闭锁(BA)诊断中的临床价值。方法对45例有持续性黄疸的患儿,进行99mTc—EHIDA肝胆显像检查.并经手术病理和临床随访结果证实。结果最终诊断为BA的加例患儿中.99mTc—EHIDA肝胆显像全部检出;非BA组25例中15例为真阴性,10例为假阳性,灵敏度、特异度和准确性分别为100%、60%和77.8%。结论99mTc—EHIDA肝胆显像是一种无创、安全、有效的检查方法,对于BA的诊断,有较高的临床价值。Objective To evaluate the diagnostic value of hepatobiliary scintingraphy in congential biliary atresia（BA）. Methods Forty - five infants and neonates （20 infants with BA, the other 25 with non - BA） with consistent jaundice received ^99mTc-EHIDA hepatobiliarys cintiugraphy, the results of all patients were proved by pathology and chnical follow - up resuits. Results ^99mTc-EHIDA hepatobiliary scintingraphy diagnosed 20 infants and neonates with last diagnosis BA correctly; 15 infants and neonates with last diagnosis non-BA correctly, but 10 infants and neonates false- positive in all non- BA 25 patients. The sensitivity, specificity and correct rate of this method were 100%, 60% and 77.8%. Conclusion ^99mTc-EHIDA hepatobiliary scintingraphy is anoninv asive,safety, valuable exarning method and have definitely clinical value in the diagnosis of BA.

关 键 词：^99MTC-EHIDA 肝胆显像 先天性胆道闭锁 胆囊 肠道 

分 类 号：R817.4[医药卫生—影像医学与核医学]