신생아 황달에서 99mTc-HIDA 스캔의 임상적 의의 ( Clinical Significance of the 99mTc-HIDA Cholescintigraphy in the Neonatal Jaundice ) () |
Author |
박난재(Nan Jea Park),권인순(In Soon Kwon),박정식(Jung Sik Kwon),김명덕(Myung Duk Kim),이명철(Myung Chul Lee),조보연(Bo Yeon Cho),고창순(Chang Soon Koh), |
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Abstract |
Twenty-nine patients with neonatal jaundice were
evaluated with Tc-99m-HIDA cholescintigraphy to
elucidate its clinical applicability. Scintigraphic
results were interpreted by the degree of early hepatic
uptake and the presence or absence of radioactivity in
the G-I tract. The results are as follows; 1) In 18
patents with neonatal hepatitis; 8 of 11 patients with
decreased hepatic uptake and all 5 patients with good
hepatic uptake showed G-I radioactivity. But, the 2
remainders with poor hepatic extraction were not
available for evaluation of neonatal jaundice due to
patients poor hepatic function. 2) In 9 patients,
confirmed as biliary obstruction; all showed no G-I
radioactivity but 3 of the 9 showed poor hepatic
extraction on scan and they were not available for
evaluation. 3) All the 2 patients with postoperative
cholangitis showed G-I radioactivity on Tc-99m-HIDA
scan. 4) Relationship between histopathologic findings
and Tc- 99m-HIDA scan; Among 5 patients with biliary
cirrhosis 3 showed poor hepatic extraction, the
remainders showed decreased and good hepatic uptake
respectively. But, the 2 portal fibrosis without
cirrhosis and 4 cholestasis showed decreased(4) or good
hepatic uptake(2). |
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Full text Article |
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