| Japanese |
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| Title | 急性胆嚢炎除外のための緊急肝胆道シンチグラフィの有用性 - 43症例の検討 - |
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| Subtitle | 原著 |
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| Authors | 渡雅文*, 六倉俊哉*, 明石恒浩*, 青木重憲**, 三輪博久**, 篠崎伸明**, 三井民人***, 瀬戸千秋***, 相澤信行****, 鈴木豊***** |
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| Authors(kana) | |
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| Organization | *茅ヶ崎徳洲会総合病院内科, **外科, ***放射線科, ****湘南鎌倉病院内科, *****東海大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 29 |
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| Number | 8 |
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| Page | 1013-1018 |
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| Year/Month | 1992/8 |
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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」上腹部痛, 黄疸, 発熱等を主訴に来院した患者43症例に急性胆嚢炎を否定する目的で99mTc-HIDAまたは99mTc-EHIDAによる経時的肝胆道シンチグラムを, 臨床経過を見ながら最高7時間まで撮像し胆嚢描出につき検討した. 結果は胆嚢が描出されたものが20例で, その後の経過で急性胆嚢炎はなかった. 胆嚢が描出されなかったものは14例で, うち10例が緊急に手術され急性胆嚢炎と確定した. このほかの9例は肝機能障害などより判読困難であったが, この中に手術で急性胆嚢炎と診断されたものが4例あった. 以上よりシンチグラムで胆嚢が描出された場合は100%の確率で急性胆嚢炎は除外でき, 緊急に行う肝胆道シンチグラムは急性胆嚢炎を否定するのに有用であると考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Hepatobiliary scintigraphy, Acute cholecystitis, Acute abdomen. |
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| English |
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| Title | The Usefulness of the Emergency Hepatobiliary Scintigraphy to Rule Out Acute Cholecystitis - 43 Patients Report |
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| Subtitle | Original Articles |
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| Authors | Masafumi WATARI*, Toshiya MUTSUKURA*, Tsunehiro AKASHI*, Shigenori AOKI**, Hirohisa MIWA**, Nobuaki SHINOZAKI**, Tamito MITSUI***, Chiaki SETO***, Nobuyuki AIZAWA****, Yutaka SUZUKI***** |
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| Authors(kana) | |
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| Organization | *Department of Internal Medicine, **Department of Surgery, ***Department of Radiology, Chigasaki Tokushukai Medical Center, ****Department of Internal Medicine, Shonan Kamakura Hospital, *****Department of Nuclear Medicine, School of Medicine, Tokai University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 29 |
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| Number | 8 |
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| Page | 1013-1018 |
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| Year/Month | 1992/8 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]We studied emergency hepatobiliary scintigraphy in the 43 patients to rule out acute cholecystitis. After injection of 185-222 MBq (5-6 mCi) of 99mTc-EHIDA or 99mTc-HIDA, serial static scintigraphic images were obtained up to 7 hours in maximum. Of 43 patients in this study, 20 had a normal scan and finally in all of them cholecystitis was ruled out. Of the 43 patients, 14 had an abnormal scan (nonvisualized gall bladder). In 10 of them the diagnosis of acute cholecystitis was confirmed after emergency cholecystectomy. The other 9 patients of 43 had an incomplete scan mainly due to liver dysfunction. Four of them had acute cholecystitis in the cholecystectomy. These results indicate that acute cholecystitis can be excluded by the findings of gall bladder visualization in hepatobiliary scintigram. We concluded that emergency hepatobiliary scintigraphy is very useful to rule out acute cholecystitis. |
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| Practice | Clinical medicine |
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| Keywords | Hepatobiliary scintigraphy, Acute cholecystitis, Acute abdomen. |
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