CAJ | 학술논문

目的探讨肋骨单发浓聚灶骨显像特点及临床意义.方法选择84例全身骨显像发现肋骨单发浓聚灶病例,将浓聚灶按位置划分为肋骨与肋软骨交界处、前肋、侧肋和后肋四个部位,按浓聚灶形状分为点状、团块状和条形三种,分别进行分析.结果骨显像肋骨单发浓聚灶以点状、条形为主.点状浓聚灶分布以肋骨与肋软骨交界处及前肋居多,多为肋骨骨折(42/61,68.85%);绝大部分条形浓聚灶(18/19,94.74%)为肋骨转移瘤.后肋浓聚灶中,大部分(24/29,82.76%)为肋骨转移瘤.结论良恶性肋骨单发浓聚灶图像具有一定的特征性,有利于鉴别诊断.
목적 탐토륵골단발농취조골현상특점급림상의의.방법 선택84례전신골현상발현륵골단발농취조병례,장농취조안위치화분위륵골여륵연골교계처、전륵、측륵화후륵사개부위,안농취조형상분위점상、단괴상화조형삼충,분별진행분석.결과 골현상륵골단발농취조이점상、조형위주.점상농취조분포이륵골여륵연골교계처급전륵거다,다위륵골골절(42/61,68.85%);절대부분조형농취조(18/19,94.74%)위륵골전이류.후륵농취조중,대부분(24/29,82.76%)위륵골전이류.결론 량악성륵골단발농취조도상구유일정적특정성,유리우감별진단.
Objective To explore the imaging features and clinical significance of solitary costal hot spots on bone scintigraphy (BS). Methods Eighty-four patients with single costal hot spots were enrolled in the study. The sites of lesions were classified into four types: junction betweenaor rib. The shapes of hot spots were classified into three forms: Punctiform, clumping and strip. The above data were respectively analyzed. Results Single hot spots were mainly showed in the punctiform and strip shapes, and the distribution of punctiform spots were mainly in the sites of junction between costal cartilage and rib and frontal ribs, also mainly due to costal fractures (42/61, 68.85%). The majority of spots in strip shape were costal metastases(18/19, 94.74%). Hot spots in posterior ribs were also mainly costal metastases (24/29,82.76%). Conclusion Useful imaging features can be obtained from BS with al diagnosis of benign and malignant lesions.