~(99)Tc~m-PHY和~(113)In~m-DTPA双核素胃排空显像检查
The Application of ~(99)Tc~m-PHY and ~(113)In~m-DTPA Double Nuclides Imaging on Gastric Emptying
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摘要: 采用99Tcm-植酸钠(PHY)标记鸡肝(固相)和113Inm-DTPA(液相)混合餐作双核素显像检测受试者的胃半排空时间(T1/2),建立正常值;并对非胰岛素依赖性糖尿病、十二指肠溃疡、功能性消化不良、硬皮病等165例患者的胃排空时间进行检测与分析。结果表明:20例正常对照组液相食物T1/2为25.7~53.7min,平均41.2±9.1min;固相食物T1/2为50.5~100.3min,平均70.5±16.5min。正常上限:液相T1/2为60min,固相T1/2为104min。107例糖尿病患者中有固相食物排空延迟者达47例,占43.9%,并有液相食物延迟者19例,占17.8%。经西沙比利治疗后复查,均见有胃排空的明显改善。硬皮病患者的胃排空延迟最严重,且所占比率达82%。双核素胃排空显像检查尤其是固相食物检查为临床胃排空研究提供了灵敏可靠的检查方法。Abstract: Twenty health volunteers and 165 patients (included Ⅱ diabetics mellitus(DM), duodenal ulcer(DU), functional dyspepsia(FD) and progressive systemic sclerosis(PSS) are imaged with double nuclides mixture of 99TcmPHY and 99TcmPHYchick liver; the normal gastric halfemptying time (T1/2) are calculated and the gastric emptying function of the patients are discussed. The results show that the liquid phase T1/2 is 41.2±91 min,solid phase T1/2 is 70.5±16.5 min, and the normal upper limit of liquid phase T1/2 is 60 min, solid phase T1/2 is 104 min. 47 patients of 107 Ⅱ diabetics(43.9%) are the solid phase delayed gastric emptying, 19 patients(17.8%) are the liquid phase delayed gastric emptying. After the treatment with Cisapride, the solid and liquid gastric are significantly reduced (P<0.01). The gastric delayed emptying in the PSS patients is the most severity and numerous (82%). So, it is a sensitive and stable method that double nuclides imaging for gastric emptying study, especially solid phase.