篇名 | Tc-99m Phytate Peritoneoscintigraphy for Hepatic Hydrothorax |
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卷期 | 26:3 |
並列篇名 | Tc-99m植酸腹腔閃爍攝影於肝性水胸的應用 |
作者 | 陳昱宏 、 劉淑馨 、 藍文君 |
頁次 | 097-098 |
關鍵字 | 膠體 、 肝性胸水 、 腹腔肋膜腔分流 、 腹腔閃爍攝影 、 植酸 、 colloid 、 hepatic hydrothorax 、 peritoneopleural shunt 、 peritoneoscintigraphy 、 phytate |
出刊日期 | 201309 |
DOI | 10.3966/222696812013092603005 |
搭-99m植酸目前已經被用在淋巴閃爍攝影以及網狀內皮系統的攝影上。然而,目前仍缺乏文獻報 告使用搭-99m植酸腹腔閃爍攝影來偵測腹腔肋膜腔分流。傳統上使用的藥物爲搭-99m sulfur colloid以及 搭-99m標記的大顆粒聚合人血清白蛋白。我們報告一位肝硬化的病人合倂右側大量胸水,以Tc-99m植 酸腹腔閃爍攝影成功的顯示腹腔肋膜腔分流的現象。這代表搭-99m植酸在缺乏傳統非腹膜吸收藥物的 地方也是一個合理的替代品。
Tc-99m phytate has been used as the agent for lymphoscintigraphy and reticuloendothelial images. Nevertheless, the use of Tc-99m phytate in peritoneoscintigraphy to detect peritoneopleural shunt has not been reported in literature; and the traditional agents used for peritoneoscintigraphy are Tc-99m labelled sulfur colloid and Tc-99m labelled macro-aggregated albumin. We here report a liver cirrhotic patient with refractory right pleural effusion successfully demonstrated the peritoneopleural shunt by Tc-99m phytate peritoneoscintigraphy. This indicates that Tc_ 99m phytate is a reasonable choice for peritoneoscintigraphy in facilities unavailable of traditional peritoneal non-absorptive radiotracers.