| Japanese |
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| Title | 下肢動脈閉塞性疾患における133Xeクリアランス法の臨床応用 |
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| Subtitle | 原著 |
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| Authors | 平井正文* |
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| Organization | *名古屋大学医学部付属病院分院外科 |
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| Journal | 核医学 |
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| Volume | 15 |
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| Number | 5 |
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| Page | 671-678 |
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| Year/Month | 1978/8 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」133Xeクリアランス法の下肢動脈閉塞性疾患への臨床応用法について種々の検討を加え, 次の如き結果を得た. 1) 安静時のクリアランスカーブより得られる筋血流量値では, 正常肢と動脈閉塞肢との判別が困離で, 診断的価値を得るためには, 下肢になんらかの負荷を加える必要がある. 2) 下肢に運動負荷を加えるに際しては, 常に運動量を一定にしなければならない. 3) 下腿動脈のみの閉塞例においては, 前脛骨筋ばかりでなく, 腓腹筋・ヒラメ筋での検討も大切である. 4) 腓腹筋・ヒラメ筋において, 充分な133Xe減衰カーブを得るためには, 3.5kgのおもりをつけての運動負荷が必要であった. 5) 足関節より末梢の動脈病変の把握には, 足底筋クリアランス法が有効である. |
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| Practice | 臨床医学：一般 |
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| Keywords | muscle blood flow, work load, the anterior tibial muscle, the gastrocnemius muscle, the soleus muscle. |
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| English |
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| Title | Clinical Application of Xe-133 Clearance Technique in Arterial Occlusive Disease of the Leg |
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| Subtitle | Original Articles |
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| Authors | Masafumi HIRAI |
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| Authors(kana) | |
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| Organization | Department of Surgery, Nagoya University Branch Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 15 |
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| Number | 5 |
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| Page | 671-678 |
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| Year/Month | 1978/8 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] In the present paper, some problems with regard to the clinical use of Xe-133 clearance technique in arterial occlusive disease of the leg were studied, and the following results were obtained. 1. As muscle blood flow at the rest is of little diagnostic value, it is necessary to produce a period of hyperemia in the leg in order to demonstrate the presence of arterial lesions. 2. When the muscular exercise of the leg, flexions of the ankle, is applied for this purpose, the work load should be kept constant. 3. It is necessary to examine the clearance curve in the gastrocnemius and soleus muscles as well as in the anterior tibial muscle, especially in limbs with occlusion only of the crural arteries. 4. By exercising the ankle lifting a weight of 3.5 Kg, satisfied clearance of Xe-133 from the gastrocnemius and soleus muscles was obtained. 5. Xe-133 clearance technique applied in the plantar muscle can be used for the evaluation of the occlusive lesion distal to the ankle. |
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| Practice | Clinical medicine |
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| Keywords | muscle blood flow, work load, the anterior tibial muscle, the gastrocnemius muscle, the soleus muscle. |
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