^(99)Tc^m-EHIDA肝胆显像在先天性胆道闭锁和婴儿肝炎综合征鉴别诊断中的价值  

作　　者：林乐军[1] 谭贵萍[1] 王永涛[1] 李伟龙[1] 李善春[1] 

机构地区：[1]山东青岛医学院附属烟台毓璜顶医院核医学科,264000

出　　处：《中国社区医师（医学专业）》2012年第27期202-203,共2页

摘　　要：目的:探讨99Tcm-EHIDA肝胆显像在先天性胆道闭锁和婴儿肝炎综合征鉴别诊断中的价值。方法:回顾性分析了经手术和临床随访证实的19例先天性胆道闭锁和37例婴儿肝炎综合征的放射性核素肝胆显像结果。结果:99Tcm-EHIDA肝胆显像诊断先天性胆道闭锁的灵敏度100%,特异度89.2%,准确率92.9%,假阳性率17.4%;诊断婴儿肝炎综合征的灵敏度89.2%,特异度100%。结论:99Tcm-EHIDA肝胆显像是一种无创、安全、有效的检查方法,对于先天性胆道闭锁和婴儿肝炎综合征的鉴别诊断有较高的临床价值。Objective：To evaluate the value of 99Tcm- EHIDA hepatobiliary scintingraphy on the differentiational diagnosis between Biliary atresia and Infantile hepatitis syn- drome. Methods：19 infants with BA,37 in- fants with HIS, all patients were proved by pathology and clinical follow. We analysed all the infants＇ hepatobiliary sciutingraphy. Results： The sensitivity rate of 99Tcm - EHIDA hepatobiliary scintingraphy diagnosis on BA is 100% ,the specificity and correct rate of this method are 89. 2%, 92. 9%. false - positive rate is 17.4% ;the sensitivity and specificity rate of 99Tcm - EHI- DA hepatobiliary scintingraphy diagnosis on 1HS are 89. 2% and 100%. Conclusion： 99Tcm- EHIDA hepatobiliary scintingraphy is a noninvasive, safety, valuable exaining method and have definitely clinical value on the differentiational diagnosis between BA and IHS.

关 键 词：先天性胆道闭锁 婴儿肝炎综合征 肝胆显像 

分 类 号：R725.126[医药卫生—儿科]