肝硬化患者肝肺综合征核素诊断方法的一项对比研究
肝肺综合征;核素;肝移植,王海燕,王惠吉,李春林,杨吉刚,李书明,通讯作者:,Contrastingmethodsfordiagnosinghepatopulmonarysyndromeinlivercirrhosis,Hai-YanWang
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王海燕, 北京华信医院消化内科 北京市 100016
王惠吉, 北京友谊医院综合科 北京市 100060
李春林, 杨吉刚, 北京友谊医院核医学科 北京市 100060
李书明, 朝阳疾病预防控制中心流行病科 北京市 100021
王海燕, 1993年河北医科大学本科, 2004年首都医科大学硕士研究生, 副主任医师, 主要从事消化系统疾病的临床研究.
通讯作者: 王海燕, 100016, 北京市酒仙桥一街坊六号, 北京华信医院消化内科. wanghaiy@sohu.com
收稿日期: 2007-06-14 修回日期: 2007-07-09
Contrasting methods for diagnosing hepatopulmonary syndrome in liver cirrhosis
Hai-Yan Wang, Hui-Ji Wang, Chun-Lin Li, Ji-Gang Yang, Shu-Ming Li
Hai-Yan Wang, Department of Gastroenterology, Beijing Huaxin Hospital, Beijing 100016, China
Hui-Ji Wang, Integrated Department of Beijing Friendship Hospital, Beijing 100060, China
Chun-Lin Li, Ji-Gang Yang, Department of Nuclear Medicine, Beijing Friendship Hospital, Beijing 100060, China
Shu-Ming Li, Department of Epidemiology, Chaoyang Center for Disease Control and Prevention, Beijing 100021, China
Correspondence to: Hai-Yan Wang, Department of Gastroenterology, Beijing Huaxin Hospital, Beijing 100060, China. wanghaiy@sohu.com
Received: 2007-06-14 Revised: 2007-07-09
Abstract
AIM: To evaluate and compare the methods of 99mTc-labeled macro-aggregates of albumin (MAA) lung and brain scanning, and whole-body scanning for diagnosis of hepatopulmonary syndrome (HPS) in patients with cirrhosis.
METHODS: We studied 55 consecutive inpatients with cirrhosis seen in 2004, along with eight healthy volunteers. 99mTc-labeled MAA lung and brain scanning or whole-body scanning was carried out to diagnose HPS. 99mTc-MAA scanning was undertaken follow the same protocol.
RESULTS: In 55 patients with hepatic cirrhosis, we carried out both 2 mci whole-body scanning and 2 mci lung and brain scanning at the same time, the shunt rate was 3.16 ± 1.58% and 3.18 ± 1.60%, and the detection rate of HPS was 7.27% and 9.09%, respectively (P = 1 ......
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