ULTRASOUND AND HIDA - SCANNING IN EVALUATING BILE LEAKS AFTER CHOLECYSTECTOMY

被引：8

作者：

RAYTER, Z

TONGE, C

BENNETT, C

THOMAS, M

ROBINSON, P

机构：

[1] Departments of Surgery, Chertsey, Surrey, Guildford Road

[2] Departments of Nuclear Medicine, Chertsey, Surrey, Guildford Road

[3] Departments of Radiology, St Peter's Hospital, Chertsey, Surrey, Guildford Road

来源：

NUCLEAR MEDICINE COMMUNICATIONS | 1991年 / 12卷 / 03期

关键词：

D O I：

10.1097/00006231-199103000-00004

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Ultrasound and 99Tc(m)-HIDA scanning were compared in the evaluation of postoperative biliary leakage after cholecystectomy. In thirty-five patients the abdomen was scanned and imaged on the first postoperative day. Isotope activity in the right upper quadrant and whole abdomen was determined to obtain an activity ratio. Ultrasonography was also performed. Accumulation of 99Tc(m)-HIDA in the gall bladder bed or over the surface of the liver was regarded as evidence of a bile leak. Eleven patients had abnormal 99Tc(m)-HIDA images (activity ratios of 0.20-0.77, mean 0.51) but only five patients had loculated fluid on ultrasound scanning. Twenty-four patients had normal 99Tc(m)-HIDA images (activity ratios of 0-0.17, mean 0.21), but fifteen of these had loculated fluid on ultrasound scanning. We conclude that bile leaks occur in 30% of patients following cholecystectomy and are best detected by 99Tc(m) scanning rather than ultrasonography.

引用

页码：197 / 202

页数：6

共 14 条

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