^(99m)Tc-MIBI 诊断肝硬化门静脉高压的临床研究  

Diagnosis of portal hypertantion with 99 m Tc MIBI in hepatocirrhosis

作　　者：岳玉[1] 周建国[1] 王汉青[1] 宋伟[1] 赵春淮[1] 鲍子雨[1] 

机构地区：[1]蚌埠市第一人民医院

出　　处：《蚌埠医学院学报》1997年第3期201-202,共2页Journal of Bengbu Medical College

摘　　要：目的：旨在了解门脉分流程度。方法：对３５例肝硬化和１２例非肝硬化患者，用９９ｍＴｃＭＩＢＩ经直肠注入，测定心肝核素显影比值（Ｈ／Ｌ）。结果：按ＣｈｉｌｄＰｕｇｈ分类的肝硬化各级Ｈ／Ｌ值，分别与对照组比较，差异均有显著性（Ｐ＜０．０１）；７例肝硬化和４例非肝硬化患者，术中所测的门脉压力与Ｈ／Ｌ值呈正相关。胃镜下食管静脉曲张度不同的Ｈ／Ｌ值亦不同，重度曲张者１３例，Ｈ／Ｌ值均＞１．００，其中，出血者１０例。结论：本方法是无创性诊断门脉高压可靠安全的新手段，并将Ｈ／Ｌ值＞１．００的肝硬化患者，作为判定食管静脉曲张有出血危险的一项指标。Objective:To test the degree of portal shunt.Methods:Heart liver nucleide imaging ratios were measured in 35 hepatocirrhotic and 12 non hepatocirrhotic patients with 99 m Tc MIBI per rectal.Results:According to Child Pugh's division,H/L ratio in each groups of hepatocirrhosis was significantly different from their comparatic control group ( P <0.01).The portal vein pressure measured during operation in 7 hepatocirrhotic and 4 non hepatocirrhotic cases was positively related to H/L ratio.H/L was also shown to be variable in different degree of esophageal varices in the endoscopy.Among the 13 cases with heavy varices and H/L were >1.00,ten of them had hemorrhage.Conclusions:This is a reliable,safe and noninvasive method and H/L ratio>1.00 can be used as an index for hemorrhage in esophageal varices.

关 键 词：肝硬变 门脉高血压 锝99M MIBI 诊断 

分 类 号：R657.340.4[医药卫生—外科学] R981.9[医药卫生—临床医学]