国际放射医学核医学杂志
國際放射醫學覈醫學雜誌
국제방사의학핵의학잡지
INTERNATIONAL JOURNAL OF RADIATION MEDICINE AND NUCLEAR MEDICINE
2009年
6期
346-348
,共3页
肺肿瘤%99锝美罗酸盐%放射性核素显像%肿瘤转移
肺腫瘤%99锝美囉痠鹽%放射性覈素顯像%腫瘤轉移
폐종류%99득미라산염%방사성핵소현상%종류전이
Lung neoplasms%Technetium Tc 99m medronate%Radionuclide imaging%Neoplasm metastasis
目的 通过核素骨显像检查,探讨不同病理组织学类型肺癌的骨转移规律.方法 对562例已确诊的原发肺癌患者进行~(99)Tc~m-亚甲基二膦酸盐(~(99)Tc~m MDP)全身骨显像,对骨显像的结果和肺癌病理类型进行回顾性分析.结果 各类型肺癌骨转移平均发生率为43.06%,肺腺癌和小细胞癌骨转移率较高,分别为55.43%和45.16%,腺鳞癌、鳞癌骨转移发生率分别为37.93%和35.19%.结论 肺癌骨转移发生率较高,肺腺癌和小细胞癌较其他类型肺癌更易发生骨转移;核素全身骨显像是诊断肺癌早期骨转移的首选方法,对帮助判断疾病的进展程度,选择合适的治疗方案,改善患者的生存质量和延长生命有重要的临床意义.
目的 通過覈素骨顯像檢查,探討不同病理組織學類型肺癌的骨轉移規律.方法 對562例已確診的原髮肺癌患者進行~(99)Tc~m-亞甲基二膦痠鹽(~(99)Tc~m MDP)全身骨顯像,對骨顯像的結果和肺癌病理類型進行迴顧性分析.結果 各類型肺癌骨轉移平均髮生率為43.06%,肺腺癌和小細胞癌骨轉移率較高,分彆為55.43%和45.16%,腺鱗癌、鱗癌骨轉移髮生率分彆為37.93%和35.19%.結論 肺癌骨轉移髮生率較高,肺腺癌和小細胞癌較其他類型肺癌更易髮生骨轉移;覈素全身骨顯像是診斷肺癌早期骨轉移的首選方法,對幫助判斷疾病的進展程度,選擇閤適的治療方案,改善患者的生存質量和延長生命有重要的臨床意義.
목적 통과핵소골현상검사,탐토불동병리조직학류형폐암적골전이규률.방법 대562례이학진적원발폐암환자진행~(99)Tc~m-아갑기이련산염(~(99)Tc~m MDP)전신골현상,대골현상적결과화폐암병리류형진행회고성분석.결과 각류형폐암골전이평균발생솔위43.06%,폐선암화소세포암골전이솔교고,분별위55.43%화45.16%,선린암、린암골전이발생솔분별위37.93%화35.19%.결론 폐암골전이발생솔교고,폐선암화소세포암교기타류형폐암경역발생골전이;핵소전신골현상시진단폐암조기골전이적수선방법,대방조판단질병적진전정도,선택합괄적치료방안,개선환자적생존질량화연장생명유중요적림상의의.
Objective To evaluate regularity of bone metastasis with bone imaging in different histological types of lung cancer patients.Methods ~(99)Tc~m-methytene diphosphonate(~(99)Tc~m-MDP)whole body bone imaging was performed in 562 patients who had been diagnosed primary lung cancer.The bone imaging results of different pathological types of lung cancer were analyzed.Results Average incidence rate of bone metastasis in all types of lung cancer is 43.06%.Pulmonary adenocarcinoma and small cell carcinoma has higher incidence rate.45.16% and 55.4%respectively.Incidence rate of bone metastasis in adenosquamous carcinoma and squamous cell carcinoma were 37.93% and 35.19%respectively,less than that of adenocarcinoma and small cell carcinoma.Conclusion The incidence rate of bone metastasis of lung cancer is higher;lung adenocarcinoma and small cell carcinoma are more susceptible to metastasis to bones.Radionuclide whole body bone imaging is the preferred method for early diagnosis of bone metastasis,and helps judge the progress of disease,select appropriate treatment programs,improve the patients live quality and prolong life expectancy.
