核素静脉和淋巴显像在下肢浮肿患者中的应用  

The Application of Radionuclide Venography and Lymphoscintigraphy in Lower Limb Edema

作　　者：黄斌豪[1] 甄作武[1] 何彩霞[1] 罗强[1] 高淑清[1] 吴月娥[1] 

机构地区：[1]广东省江门市中心医院核医学科,江门529070

出　　处：《现代临床医学生物工程学杂志》2002年第6期415-417,共3页Journal of Modern Clinical Medical Bioengineering

摘　　要：目的　探讨核素静脉和淋巴显像在下肢浮肿患者诊治中的价值 .方法　对 190例下肢浮肿患者和 49例正常对照者行99Tcm-大颗粒聚合白蛋白 (MAA)或 (和 ) 99Tcm-右旋糖酐 (DX)双下肢静脉或 (和 )淋巴显像 ,其中 3 5例行肺部多体位静态显像 .结果　 190例下肢浮肿患者中 :下腔静脉栓塞 4例 (2 1% ) ;下肢深静脉血栓形成 (DVT) 146例 (76 8% ) ,血栓性静脉炎 2 0例 (10 5 % ) ;浅静脉曲张 7例 (3 7% ) ,共 177例中同时肺部显像异常 3 5例 (19 8% ) ,最后确诊肺栓塞 2 9例 (16 4% ) ;13例 (6 8% )浮肿患者下肢静脉显像正常或基本正常 ,双下肢 -腹腔淋巴显像均见淋巴回流障碍 .正常对照组 49例患者下肢静脉和淋巴显像均正常 .结论　核素静脉显像对下肢浮肿患者病变的定位和定性诊断有很高的临床实用价值 ,对肺栓塞的早期诊断有一定价值 .对静脉显像正常的浮肿患者 ,应常规加做下肢Objective To evaluate the clinical value of radionuclide venograghy and lymphosointigraghy in lower limb edema. Methods Patients with 49 control subjects and 190 cases underwent 99 Tc m-MAA or(and) 99 Tc m-DX radionuclide Venography or(and)lymphoscintrigraphy,and 35 cases underwent lung perfusion imaging.Of 190 cases ,4(2 1%)were diagnosed as inferior vena cava embolism,146(76 8%)as deep venous thrombosis (DVT),20(10 5%)as thrombophlebitis and 7(3 7%)as Low varicosis. In these cases ,29(16 4%) were diagnosed as pulmonary embolism.13(6 8%)were diagnosed as lymphedema and radionuclide Venography were normal.Conclusions The radionuclide venography was effective for lower limb edema and pulmonary embolism.Lymphoscintrigraphy should be used as a routine examination when venography was normal.

关 键 词：放射性核素 静脉显像 淋巴显像 血栓形成 下肢浮肿 

分 类 号：R817.4[医药卫生—影像医学与核医学]