Author |
박난재(R. J. Park),안일민(I. M. Ahn),장연복(Y. B. Jang),홍기석(K. S. Hong),윤용범(Y. B. Yoon),조보연(B. Y. Cho),고창순(C. S. Koh), |
Abstract |
Cholescintigraphic studies with Tc-99m-HIDA(dimethyl
iminodiacetic acid) were performed in 22 cases of
normal subjects, 21 of acute cholecystitis, 22 of
chronic cholecystitis and 12 others, with the results
of, 1) In normal control group, liver and intrahepatic
biliary tree, CBD and gall bladder, and G-I tract
appeared at 10, 20 and 30 minutes after intravenous
injection of Tc-99m-HIDA respectively. 2) In acute
cholecystitis, 20 among 21 cases showed non-
visualization of gall bladder with the diagnostic
accuracy, sensitivity and specificity of 98.290, 95.290
and 100% respectively. 3) In chronic cholecystitis, 5
among 12 cases showed non-visualization of gall bladder
and remained 7 among 12 cases showed poor contraction
of gall bladder (4), delayed visualization of gall
bladder(l) and normal findings(2). 4) In the other
disease group, the 12 cases which initially suspected
as acute cholecystitis, revealed normal scan findings
to exclude the cystic duct obstruction easily. With the
above results, this scintigraphic procedure was found
very rapid, accurate and easily available method for
the determining of the cystic duct patency. |