Clinical implications of hepatobiliary scintigraphy and ultrasound in the diagnosis of acute cholecystitis
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- 作者：Limael E. Rodriguez ; lerodriguez26@yahoo.com" class="auth_mail" title="E-mail the corresponding author ; Luis E. Santaliz-Ruiz ; Gabriel De La Torre-Bisot ; Giovanni Gonzalez ; Miguel A. Serpa ; Felipe Sanchez-Gaetan ; Jorge L. Martinez-Trabal ; Julio A. Peguero-Rivera ; Guillermo Bolanos-Avila
- 关键词：HIDA ; Ultrasound ; Acute cholecystitis ; Tokyo guidelines ; Cholecystectomy
- 刊名：International Journal of Surgery
- 出版年：2016
- 出版时间：November 2016
- 年：2016
- 卷：35
- 期：Complete
- 页码：196-200
- 全文大小：543 K
文摘
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For acute cholecystitis, US had a sensitivity and specificity of 26% and 80%. HIDA scan had a sensitivity and specificity of 87% and 79%.
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Glucose >140 mg/dL, age >50, and WBC count >10 (×109 /L) were independent clinical features associated with histologically confirmed acute cholecystitis.
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Delayed HIDA scan protocol resulted in increased time to surgery, length of stay, and increased costs.