肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2011年
1期
11-13
,共3页
三相骨显像%单光子发射计算机断层扫描%鉴别诊断
三相骨顯像%單光子髮射計算機斷層掃描%鑒彆診斷
삼상골현상%단광자발사계산궤단층소묘%감별진단
Three phase bone scan%Single photon emissions computerized tomography%Differential diagnosis
目的 比较骨骼良恶性病灶的三相骨显像结果,探讨其临床应用价值.方法 采集阳性症状患者三相骨显像,收集相关临床资料,所有资料录入SPSS软件分析.结果 49例患者的血流和血池显像采集范围内共有阳性病灶73个,除外可疑为转移灶的10个病灶后,63个病灶共有恶性病变37个、良性病变26个,良恶性病灶间血流、血池相和延迟相改变(增高、正常和减低)差异无统计学意义(χ2=3.341、P＞0.05;χ2=1.685,P＞0.05;χ2=2.923,P＞0.05).良恶性病灶中,33.3%(5/15)的胸部病灶血流、血池相有阳性改变,四肢病变阳性率72.2%(13/18),盆腔病灶阳性率75.0%(18/24).胸部、腹部、四肢和盆腔的血流、血池和延迟相结果间差异均无统计学意义.三相骨显像意外探测到4例骨外病灶.结论 三相骨显像受采集部位影响较大,对四肢和盆腔病变探测较为理想,但鉴别良恶性病变意义不大.其相对于常规骨显像可探测到某些软组织病灶和血流改变,可为鉴别诊断提供更多信息.
目的 比較骨骼良噁性病竈的三相骨顯像結果,探討其臨床應用價值.方法 採集暘性癥狀患者三相骨顯像,收集相關臨床資料,所有資料錄入SPSS軟件分析.結果 49例患者的血流和血池顯像採集範圍內共有暘性病竈73箇,除外可疑為轉移竈的10箇病竈後,63箇病竈共有噁性病變37箇、良性病變26箇,良噁性病竈間血流、血池相和延遲相改變(增高、正常和減低)差異無統計學意義(χ2=3.341、P＞0.05;χ2=1.685,P＞0.05;χ2=2.923,P＞0.05).良噁性病竈中,33.3%(5/15)的胸部病竈血流、血池相有暘性改變,四肢病變暘性率72.2%(13/18),盆腔病竈暘性率75.0%(18/24).胸部、腹部、四肢和盆腔的血流、血池和延遲相結果間差異均無統計學意義.三相骨顯像意外探測到4例骨外病竈.結論 三相骨顯像受採集部位影響較大,對四肢和盆腔病變探測較為理想,但鑒彆良噁性病變意義不大.其相對于常規骨顯像可探測到某些軟組織病竈和血流改變,可為鑒彆診斷提供更多信息.
목적 비교골격량악성병조적삼상골현상결과,탐토기림상응용개치.방법 채집양성증상환자삼상골현상,수집상관림상자료,소유자료록입SPSS연건분석.결과 49례환자적혈류화혈지현상채집범위내공유양성병조73개,제외가의위전이조적10개병조후,63개병조공유악성병변37개、량성병변26개,량악성병조간혈류、혈지상화연지상개변(증고、정상화감저)차이무통계학의의(χ2=3.341、P＞0.05;χ2=1.685,P＞0.05;χ2=2.923,P＞0.05).량악성병조중,33.3%(5/15)적흉부병조혈류、혈지상유양성개변,사지병변양성솔72.2%(13/18),분강병조양성솔75.0%(18/24).흉부、복부、사지화분강적혈류、혈지화연지상결과간차이균무통계학의의.삼상골현상의외탐측도4례골외병조.결론 삼상골현상수채집부위영향교대,대사지화분강병변탐측교위이상,단감별량악성병변의의불대.기상대우상규골현상가탐측도모사연조직병조화혈류개변,가위감별진단제공경다신식.
Objective To compare the results of three phase bone scans between benign and malignant lesions, and explore its clinical value. Methods Patients with pain symptom underwent three phase bone scan. Their corresponding clinical data was collected and input into SPSS software package for further evaluation. Results Forty-nine patients had 73 positive foci in the acquiring field of vascular and blood pool phase bone scans. Excluding 10 foci that suspected of bone metastasis, 37 of 63 were malignant,26 were benign lesion. On vascular, blood pool and delayed images, benign and malignant foci did not exist any significant difference (χ2 =3.341, 1.685 and 2.923, P ＞0.05). In these lesions, 33.3 % (5/15) foci had positive vascular and blood pool results in thoracic, 72.2 % (13/18) in extremity and 75.0 % (18/24) in pelvic.There were no significant difference among subgroup of chest, abdomen, limb and pelvic diseases. In addition,4 foci outside bone system were occasionally found in three phase bone scans. Conclusion Acquiring position could significantly affect the results of three phase bone scan, for example more sensitive rate can be found for limb and pelvis lesions. This method could not significantly differentiate malignant from benign lesions, but could detect soft tissue foci or the change of blood flow, and provide more information for differential diagnosis.
