【摘要】 目的探讨核素99mTc标记红细胞扫描辅助诊断子宫内膜异位症的价值。方法选择28例有进行性痛经或性交痛等病史,妇科检查和B超均提示子宫内膜异位症患者,测定血清CA125水平。另选择门诊体检的正常人10例设为对照组。均于月经第1天或第2天预约99mTc标记红细胞显像,月经干净后来医院行腹腔镜手术及病理证实是子宫内膜异位症。结果核素99mTc标记的红细胞扫描的异位病灶大小明显小于B超的显影,且CA125>200U/ml比<200U/ml时显像更明显,出现时间更早。结论核素99mTc标记的红细胞扫描有助于早期辅助诊断子宫内膜异位症。更多还原

【Abstract】 Objective To study the value of nuclide ~ 99m Tc-labeled red blood cell scintigraphy in auxiliary diagnosis of endometriosis.Methods Twenty-eight patients with the history of advancing dysmennorrhea or algopareunia and the diagnosis of endometriosis indicated by gynecologic examination and ultrasonography were included in the study group,in whom CA_ 125 was determined. Ten healthy people were chosen as the controls.The patients in both groups received ~ 99m Tc-labeled red blood cell display on the first or the second day of the menstruation and endometriosis as confirmed pathologically. Results The size of ectopic focus found with nuclide ~ 99m Tc-labeled red blood cell scintigraphy was much smaller than that with B ultrasonography,which was more and earlier with CA_ 125 grater than 200U/ml than that with CA_ 125 less than 200U/ml. Conclusion Nuclide ~ 99m Tc-labeled red blood cell scintigraphy is helpful in auxiliary diagnosis of endometriosis at early stage.更多还原