Japanese
TitleTl-201経直腸シンチグラフィによる食道静脈瘤硬化療法ならびに脾塞栓療法前後の門脈大循環短絡の観察
Subtitle原著
Authors利波紀久*, 中嶋憲一*, 川畑鈴佳*, 四位例靖*, 道岸隆敏*, 渡辺直人*, 瀬戸幹人*, 横山邦彦*, 秀毛範至*, 辻志郎*, 関宏恭*, 松田博史*, 高山輝彦*, 小泉潔*, 油野民雄*, 久田欣一*, 松井修**, 田中延善***, 小林健一***
Authors(kana)
Organization*金沢大学医学部核医学科, **放射線科, ***第一内科
Journal核医学
Volume24
Number11
Page1601-1606
Year/Month1987/11
Article原著
Publisher日本核医学会
Abstract「要旨」 食道静脈瘤を有する患者でその治療を目的として行われた食道静脈瘤の硬化療法ならびに部分的脾塞栓療法の前後にTl-201経直腸シンチグラフィを施行し, これらの治療によって生じた門脈大循環短絡の変化を観察した. 硬化療法後のTl-201経直腸シンチグラフィによる心・肝摂取比は平均変化率 (変化率の絶対値の平均) 19%で減少と増加の両方にわたり広範囲に変化した. 部分的脾塞栓療法後の心・肝摂取比は平均変化率26.2%で有意に減少した (p<0.05) . この非侵襲的で簡便な検査法は門脈循環系の種々の治療によって変化する門脈大循環短絡の程度を鋭敏に診断すると思われる.
Practice臨床医学:一般
KeywordsTl-201 per-rectal administration, Esophageal varices, Portal systemic shunting, Injection sclerotherapy, Partial splenic embolization.
English
TitleObservation of Portal Systemic Circulation after Sclerotherapy and/or Splenic Embolization Studied by Tl-201 Per-rectal Administration
SubtitleOriginal Articles
AuthorsNorihisa TONAMI*, Kenichi NAKAJIMA*, Suzuka KAWABATA*, Yasushi SHIIRE*, Takatoshi MICHIGISHI*, Naoto WATANABE*, Mikito SETO*, Kunihiko YOKOYAMA*, Noriaki SHUKE*, Shirou TSUJI*, Hiroyasu SEKI*, Hiroshi MATSUDA*, Teruhiko TAKAYAMA*, Kiyoshi KOIZUMI*, Tamio ABURANO*, Kinichi HISADA*, Osamu MATSUI**, Nobuyoshi TANAKA***, Kenichi KOBAYASHI***
Authors(kana)
Organization*Department of Nuclear Medicine, **Department of Radiology, ***First Department of Internal Medicine, Kanazawa University School of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume24
Number11
Page1601-1606
Year/Month1987/11
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] Tl-201 per-rectal study was performed to observe the changes of portal systemic shunting after injection sclerotherapy and/or partial splenic embolization in patients with esophageal varices. The changes in the heart to liver uptake ratio of Tl-201 after injection sclerotherapy were widely ranged from the decrease to the increase with a mean change rate of 19% (mean of the absolute value of change rate) . By partial splenic embolization, the heart to liver uptake ratio was decreased significantly with a mean change rate of 26.2% (p<0.05) . This noninvasive and simple method was found to be sensitive in revealing pathophysiological changes of portal systemic shunting after treatments of portal vein system.
PracticeClinical medicine
KeywordsTl-201 per-rectal administration, Esophageal varices, Portal systemic shunting, Injection sclerotherapy, Partial splenic embolization.

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