Lung-Perfusion Scintigraphy In Liver Cirroses

Year 1980, Volume: 33 Issue: 4, 585 - 590, 31.12.1980

Muammer Günaydın Günaydın

Abstract

Bu çalışmada karacğier sirozlu 16 olguda akciğer perfüzyonu araştırıldı. Bunların 13'ünde akciğer perfüzyon sintigrafileri anormal ve bunların da 7'sinde arteriyel hipoksemi vardı. Olgularda bulunan ortalama akciğer perfüzyonu normal değerin © 75.8'iydi (p<0.001). Perfüzyon bozukluğuna sağ ve sol akciğerlerin katılması arasında önemli bir fark yoktu (p>0.05). Asitin bulunup bulunmaması ve miktarı ile akciger sintigrafisindeki perfüzyon bozuklukları arasında anlamlı bir ilişki saptanmadı - (p>0.03). Böylece, sintigrafik defektlerin asitin diyafragmayı yükseltmesine bağlı bazal koilaps ile açıklanamayacağı, asitin akciğer perfüzyon sintigrafisinin güvenirliliğini önemli ölçüde etkilemeyeceği ve bu metodun karaciğer sirozunda akciğer perfüzyonunun gösterilmesinde hassas bir indeks olarak kullanılabileceği sonucuna Varıldı.

Keywords

Karaciğer sirozu , Arteriyel hipoksemi , Akciğer perfüzyon sintigrafisi

Project Number

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Karaciğer Sirozunda Akciğer-Perfüzyon Sintigrafisi

Abstract

ın this study, the results of pulmonary perfusion scintigraphy done on 16 patient with hepatic cirrhosis were presented. Of these, 13 patients showed abnormal pulmonary perfusions, seven of which had arterial hypoxemia. Average right and left iung perfusion in these patients was found to be 75.8 per cent of the normal value (p< 0.001). There was no significant disparity between perfusions of cither of the lungs (p>>0.05). As far as the pulmonary perfusion abnormality was concerned, neither the guantity of the ascitic fluid nor its existence per se had any correlative significance (p7>0.03). It has been concluded that existence of ascites does not adversely effect the reliability öf pulmonary perfusion scintigraphy in the patients with hepatic cirrhosis, and that scintigraphic defect can in no way be explained by the pulmonary coltaps resulting from the diaphragmatic elevation secondary ascites.

Keywords

Liver cirrhosis , Arterial hypoxemia , Lung perfusion scintigraphy

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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