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Indications des scintigraphies au Gallium 67 et aux leucocytes marqués à l'Indium 111 dans la mise au point des infections postopératoires en chirurgie osteo-articulaire

Comparison of the use of Indium 111 labelled leucocyte scan and Gallium 67 in the diagnosis of post-operative infection

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Summary

A prospective scintigraphic study using Gallium 67 and granulocytes labelled with Indium 111 was carried out in 60 patients who were thought to have infection following orthopaedic operations. Both investigations gave positive results in 11 of the 16 infections observed. The Indium 111 labelled leucocyte scan was more accurate than the Gallium 67 studies in delineating patients who did not have an infection, and appears to be more reliable in the diagnosis of post-operative sepsis.

Résumé

S'appuyant sur une étude prospective de 60 patients, les auteurs présentent leurs indications des scintigraphies au Gallium 67 et aux leucocytes marqués à l'Indium 111 le diagnostic des infections postopératoires précoces en chirurgie orthopédique. Les deux scintigraphies concordent et sont pathologiques pour 11 de 16 infections démontrées. La scintigraphie aux leucocytes marqués à l'Indium 111 s'est révélée être plus fiable que la scintigraphie au Gallium 67 pour le reste des patients non infectés. Elle constitue pour les auteurs la scintigraphie de choix dans le diagnostic des infections post-opératoires précoces.

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Authors and Affiliations

  1. Service de Chirurgie Orthopédique, Hôpital Universitaire Brugmann, 4, place A. Van Gehuchten, B-1020, Bruxelles, Belgium

    L. B. Mokassa & J. Wagner

  2. Service des Radioisotopes, Hôpital Universitaire Brugmann, 4, place A. Van Gehuchten, B-1020, Bruxelles, Belgium

    M. Verhas

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  1. L. B. Mokassa
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  2. J. Wagner
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  3. M. Verhas
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Mokassa, L.B., Wagner, J. & Verhas, M. Indications des scintigraphies au Gallium 67 et aux leucocytes marqués à l'Indium 111 dans la mise au point des infections postopératoires en chirurgie osteo-articulaire. International Orthopaedics 14, 155–159 (1990). https://doi.org/10.1007/BF00180121

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  • DOI: https://doi.org/10.1007/BF00180121

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