대한핵의학회지 (The Korean Journal of Nuclear Medicine)

대한핵의학회 (The Korean Society of Nuclear Medicine)
권호 표지

급성 및 간헐성 총담관폐쇄에서의 $^{99m}Tc-DISIDA$간담도 스캔의 진단적 가치

Diagnostic Value of $^{99m}Tc-DISIDA$ Hepatobiliary Scintigraphy in Patients with Acute or Intermittent Common Bile Duct Obstruction

  • 문대혁 (울산의대 서울중앙병원 핵의학과) ;
  • 이명혜 (울산의대 서울중앙병원 핵의학과) ;
  • 김명환 (울산의대 서울중앙병원 내과) ;
  • 이영상 (울산의대 서울중앙병원내과) ;
  • 민영일 (울산의대 서울중앙병원내과)
  • Moon, Dae-Hyuk (Department of Nuclear Medicine, Asan Medical Center, College of Medicine University of Ulsan) ;
  • Lee, Myung-Hae (Department of Nuclear Medicine, Asan Medical Center, College of Medicine University of Ulsan) ;
  • Kim, Myung-Hwan (Department of Internal Medicine, Asan Medical Center, College of Medicine University of Ulsan) ;
  • Lee, Young-Sang (Department of Internal Medicine, Asan Medical Center, College of Medicine University of Ulsan) ;
  • Min, Young-Il (Department of Internal Medicine, Asan Medical Center, College of Medicine University of Ulsan)
  • 발행 : 1990.11.25
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초록

We examined patients with suspected acute or intermittent biliary obstruction using hepatobiliary scintigraphy, ultrasonography and contrast cholangiography. Of 16 patients with confirmed common bile duct obstruction, sonography and scintigraphy disagreed in 8(50%). Scintigraphy revealed partial or complete common bile duct obstruction in 13 patients (81.3%) and 6 of them had no evidence of dilated biliary trees. It is concluded that disagreement between sonography and scintigraphy is not rare in patients with acute or intermittent biliary obstruction and hepatobiliary scintigraphy is useful in diagnosing obstruction prior to ductal dilatation.

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