摘要
目的探讨99mTc-热变性红细胞脾显像,对脾破裂脾脏切除术后异位脾种植的诊断价值。方法 (1)99mTc标记热变性红细胞(改良方法);(2)Philips Forte双探头SPECT;(3)进行早期和延迟显像;(4)复习国内文献。结果 (1)患者外伤后脾切除、肠穿孔修补术22年。99mTc-热变性红细胞脾显像发现异位脾种植6枚,其中5枚通过增强CT定位,1枚CT平扫定位于子宫表面;(2)复习文献9篇,临床以肿瘤收治61例,手术61例(其中5例穿刺活检,3例腔镜活检),诊断脾异位种植超过68个。结论99mTc-热变性红细胞脾显像特异性诊断异位脾种植可避免不必要手术,保留患者残存防御能力,值得临床推广应用。
Objective To discuss diagnostic value of ^99mTc-thermal denaturation red blood cell spleen imaging for ectopic spleen implantation after splenectomy for splenic rupture. Methods （1） ^99mTc-thermal denaturation red blood cell（modified method） ;（2）Philips Forte double probe SPECT; （3）earlier and delayed imaging; （4）reviewing domestic literatures. Results （1）The patient were underwent traumatic splenectomy and intestinal perforation for 22 years. 6 ectopic spleen implantations were found by ^99mTc-thermal denaturation red blood cell spleen imaging,in which five were located through enhanced CT,and the rest one was located on surface of uterus by CT plain scan. （2）Reviewing 9 literatures, 61 cases were adopted as neoplasm, surgical operations in 61 including 5 puncture biospy and 3 laparoscopy biospy, and more than 68 ectopic spleen implantations diagnosed. Conclusion Specific diagnosis of ectopic spleen implantations by ^99mTcTc-thermal denaturation red blood cell spleen imaging can avoid unnecessary operations and remain patients＇ remnant defense abilities. It has clinical value and worth spreading application.
作者
王远智
王平
叶世琴
刘云瑛
罗鸣
樊渝
WANG Yuan-zhi ,WANG Ping ,YE Shi-qin ,LIU Yun-ying ,LUO Ming ,FAN Yu(General Hospital of Panzhihua Iron ＆ Steel Group, Panzhihua , Sichuan , 617023, Chin)
出处
《中国冶金工业医学杂志》
2018年第2期136-138,共3页
Chinese Medical Journal of Metallurgical industry
关键词
热变性红细胞
异位脾种植
SPECT显像诊断
特异性诊断
Thermal denaturation red blood cell
Ectopic spleen implantation
SPECT imaging diagnosis
Specfic diagnosis
