粪便放射性测定联合SPECT肝胆显像在先天性胆道闭锁中的诊断意义  

Diagnostic significance of fecal radioactivity determination combined with SPECT in congenital biliary atresia

作　　者：宁丽梅 

机构地区：[1]郑州市第十人民医院普外科,河南郑州450052

出　　处：《现代预防医学》2012年第13期3355-3356,共2页Modern Preventive Medicine

摘　　要：目的探讨粪便放射性测定联合SPECT肝胆显像在先天性胆道闭锁中的诊断价值。方法收集2005年1月～2011年10月在某院儿科住院的持续性黄疸患儿共52例,采取粪便放射性测定联合SPECT肝胆显像技术进行检测,并与最终病理结果及临床检查、治疗结果对照分析。结果 SPECT与粪便放射性测定联合检测先天性胆道闭锁的灵敏度、特异度、诊断符合率、阳性预测值、假阳性率、假阴性率分别为100.00%、84.21%、94.23%、91.67%、15.79%、0.00%。结论粪便放射性测定联合SPECT肝胆显像在诊断先天性胆道闭锁,敏感性高、特异度高、无创、安全,具有较高的临床诊断价值。OBJECTIVE To investigate the diagnostic value of fecal radioactivity determination combined with SPECT in congenital biliary atresia.METHODS 52 pediatric patients with persistent jaundice in our hospital from January 2005 to October 2011 had the fecal radioactivity determination combined with SPECT techniques to diagnose congenital biliary atresia,and the result was compared with pathological and clinical examination.RESULTS Sensitivity,specificity,and diagnostic coincidence rate,positive predictive value,false positive rate,false negative rates of the fecal radioactivity determination combined with SPECT were 100.00%,84.21%,94.23%,91.67%,15.79% and 0.00%.CONCLUSION Fecal radioactivity determination combined with SPECT has high sensitivity and specificity which is useful in clinical diagnosis.

关 键 词：先天性胆道闭锁 粪便放射性测定 放射性核素显像 黄疸 

分 类 号：R445[医药卫生—影像医学与核医学]