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作者估计了50例可疑急性胆囊炎病人中胆道闪烁扫描的早期诊断价值。闪烁扫描是采用99~mTC,共结果并与口服胆囊造影和超声图相比较。19例经手术和病理证实为急性胆囊炎,余31例为其他病况,如急性胰腺炎9例、急性肝炎7例、胃溃疡病急性发作4例、亚急性肠梗阻3例、肝脓肿2例、右侧憩室炎1例和急性阑尾炎1例,4例的疼痛原因仍未明确。闪烁扫描的敏感度为100%,诊断正确率为96%;而口服胆囊造影的敏感度为93%,诊断正确率为86%。作者认为超声图的诊断价值不大。他提出在胆囊炎的急性期,即使存在呕吐和黄痘,仍可进行闪烁扫描检
The authors estimated the early diagnostic value of biliary scintigraphy in 50 patients with suspected acute cholecystitis. Scintigraphy was performed using 99 ~ mTC, a total of results and compared with oral cholecystography and ultrasound. 19 cases were confirmed by surgery and pathology for acute cholecystitis, and 31 cases were other cases, such as acute pancreatitis in 9 cases, acute hepatitis in 7 cases, acute gastric ulcer in 4 cases, subacute ileus in 3 cases, liver abscess in 2 cases , 1 case of right diverticulitis and 1 case of acute appendicitis. The causes of pain in 4 cases were still not clear. The sensitivity of scintigraphy was 100% and the diagnostic accuracy was 96%. The sensitivity of oral cholecystography was 93% and the diagnostic accuracy was 86%. The authors believe that the diagnostic value of ultrasound is not. He suggested that in the acute phase of cholecystitis, scintigraphy may be performed even with vomiting and yellowpox