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담도계로 배설되지 않는 99mTc-DISIDA 신티그램의 임상적 응용
Clinical Application of 99mTc-DISIDA Scintigraphy with Nonvisualization of Biliary Excretion
김동수(Dong Soo Kim),문태용(Tae Yong Moon),김용기(Yong Ki Kim)
UCI I410-ECN-0102-2009-510-005497155
* This article is free of use.

Authors analysed biochemical studies and scintigraphic findings of obstructive jaundice and nonobstructive jaundice in 44 cases of Tc-99m-DISIDA scintigraphy with nonvisualization of biliary excretion till 120 min or 240 min after injection of Tc-99m-DISIDA. Causative diseases of Tc-99m-DISIDA scintigraphy with nonvisualization of biliary excretion were in order to choledocholithiasis (25%), hepatitis (25%), cholangiocarcinoma (14%), cholangitis (14%) and pancreas head tumor (11%). In obstructive jaundice, statistically significant findings were elevated alkaline phosphatase above 300 IU/L on biochemical study and single lobe enlargement of the liver, irregular radioisotope uptake of the liver and concave indentation of the gall bladder fossa of the liver on scintigraphy. In nonobstructive jaundice, statistically significant findings were persistent renal excretion of Tc-99m-DISIDA and more increased uptake density of the heart than the liver on scintigraphy.

[자료제공 : 네이버학술정보]
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