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小儿消化道出血的放射性核素显像诊断 被引量:17

THE DIAGNOSIS OF GASTROINTESTINAL BLEEDING IN CHILDREN USING RADIONUCLIDE IMAGING
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摘要 对17例小儿消化道出血的患儿作了(99m)TcO4腹部显像.结果显示9例手术证实为Meckel憩室的患儿中8例腹部有异常放射性浓聚,1例阴性.1例肠重复畸形,其腹部也有异常放射性浓聚区.另有升结肠息肉,出血性小肠炎.慢性结肠炎等7例均呈阴性.其诊断小儿消化道出血的灵敏度、特异性及准确率分别为90.0%、100.0%及94.1%,表明放射性核素显像诊断消化道出血是一种简便、安全、准确性较高的方法. Abstract ?99m)Tc-pertechnetate abdominal scintigraphy was performed in 17 children with gastrointestinal bleeding. In 9 surgically confirmed Meckel's diverticuli cases, 8 had positive imaging,1 negative.1 case of duplication cysts also had positive finding, the other 7 patients with colon polyps, hemorrhagic enteritis or Crohn's disease had negative result.The sensitivity, specificity and accuracy were 90.0%,100.0% and 94.1%,respectively.5 patients also took ̄(99m)Tc-RBC scanning,bleeding sites were observed in 2 cases and the other 2 cases showed marked spleen hypertrophy.Our study indicates that radionuclide imaging (RNI) is an efficient,safe and accurate method in the diagnosis of children gastrointestinal hemorrhage.
出处 《中华核医学杂志》 CAS CSCD 北大核心 1994年第4期195-197,共3页 Chinese Journal of Nuclear Medicine
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参考文献6

  • 1徐白萱,中华核医学杂志,1993年,13卷,230页
  • 2林戟,中华核医学杂志,1991年,11卷,192页
  • 3钟麟,中华小儿外科杂志,1990年,11卷,42页
  • 4冯福才,第一军医大学学报,1989年,9卷,116页
  • 5高解春,中华小儿外科杂志,1989年,10卷,42页
  • 6周红,中华小儿外科杂志,1989年,10卷,342页

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