中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2014年
5期
94-96
,共3页
64层螺旋CT%全身骨显像%腰椎%骨转移瘤
64層螺鏇CT%全身骨顯像%腰椎%骨轉移瘤
64층라선CT%전신골현상%요추%골전이류
64 slice spiral CT%Whole body bone imaging%Lumbar spine%Bone metastases
目的：探讨64层螺旋CT与99Tcm-MDP全身骨显像对腰椎骨转移瘤的诊断意义。方法回顾性分析临床确诊腰椎骨转移瘤且资料完整的住院诊治27例患者49处腰椎骨转移瘤，总结分析27例患者的64层螺旋CT与99Tcm-MDP全身骨显像检查结果。比较两种检查结果的灵敏度及特异性。结果经64层螺旋CT检查示，27例患者有41处腰椎锥体破坏；经99Tcm-MDP全身骨显像检查示，23例患者有31处腰椎椎体放射性异常浓集，27例患者发现椎体外多发放射性异常浓集。64层螺旋CT检查的灵敏度为83.6%，特异性为98.6%；99Tcm-MDP全身骨显像检查的灵敏度为63.2%，特异性为96.7%。经64层螺旋CT检查示，有17例明确诊断为腰椎转移瘤，10例可疑为腰椎转移瘤；经99Tcm-MDP全身骨显像检查示，有20例明确诊断为腰椎转移瘤，7例可疑为腰椎转移瘤。结论64层螺旋CT对腰椎骨转移瘤的诊断较99Tcm-MDP全身骨显像具有更高的灵敏度，但多数患者经99Tcm-MDP全身骨显像可获得较为明确的诊断。
目的：探討64層螺鏇CT與99Tcm-MDP全身骨顯像對腰椎骨轉移瘤的診斷意義。方法迴顧性分析臨床確診腰椎骨轉移瘤且資料完整的住院診治27例患者49處腰椎骨轉移瘤，總結分析27例患者的64層螺鏇CT與99Tcm-MDP全身骨顯像檢查結果。比較兩種檢查結果的靈敏度及特異性。結果經64層螺鏇CT檢查示，27例患者有41處腰椎錐體破壞；經99Tcm-MDP全身骨顯像檢查示，23例患者有31處腰椎椎體放射性異常濃集，27例患者髮現椎體外多髮放射性異常濃集。64層螺鏇CT檢查的靈敏度為83.6%，特異性為98.6%；99Tcm-MDP全身骨顯像檢查的靈敏度為63.2%，特異性為96.7%。經64層螺鏇CT檢查示，有17例明確診斷為腰椎轉移瘤，10例可疑為腰椎轉移瘤；經99Tcm-MDP全身骨顯像檢查示，有20例明確診斷為腰椎轉移瘤，7例可疑為腰椎轉移瘤。結論64層螺鏇CT對腰椎骨轉移瘤的診斷較99Tcm-MDP全身骨顯像具有更高的靈敏度，但多數患者經99Tcm-MDP全身骨顯像可穫得較為明確的診斷。
목적：탐토64층라선CT여99Tcm-MDP전신골현상대요추골전이류적진단의의。방법회고성분석림상학진요추골전이류차자료완정적주원진치27례환자49처요추골전이류，총결분석27례환자적64층라선CT여99Tcm-MDP전신골현상검사결과。비교량충검사결과적령민도급특이성。결과경64층라선CT검사시，27례환자유41처요추추체파배；경99Tcm-MDP전신골현상검사시，23례환자유31처요추추체방사성이상농집，27례환자발현추체외다발방사성이상농집。64층라선CT검사적령민도위83.6%，특이성위98.6%；99Tcm-MDP전신골현상검사적령민도위63.2%，특이성위96.7%。경64층라선CT검사시，유17례명학진단위요추전이류，10례가의위요추전이류；경99Tcm-MDP전신골현상검사시，유20례명학진단위요추전이류，7례가의위요추전이류。결론64층라선CT대요추골전이류적진단교99Tcm-MDP전신골현상구유경고적령민도，단다수환자경99Tcm-MDP전신골현상가획득교위명학적진단。
Objective To investigate the diagnostic significance of lumbar spine bone metastases by 64 slice spiral CT and 99Tcm-MDP whole body bone imaging. Methods 27 cases of lumbar spine bone metastases with 49 places by clinical diagnosis and with complete hospitalization data were retrospectively analyzed, and the examination results of 27 cases with 64 slice spiral CT and 99Tcm-MDP whole body bone imaging were summarized and analyzed. The sensitivity and specificity of two kinds of examination results were compared. Results The examination result of 64 slice spiral CT showed that 41 vertebrae were damaged in 27 patients, the sensitivity was 83.6%, 17 cases of lumbar spine bone metastases were confirmed by 64 slice spiral CT, 10 patients were suspected. The examination result of 99Tcm-MDP whole body bone imaging showed that 31 vertebrae had radioactive anomaly concentration in 27 patients, the sensitivity was 63.2%, 20 cases of lumbar spine bone metastases were confirmed by whole body bone imaging, 7 patients were suspected. The whole body bone imaging of 27 patients found that extrapyramidal multiple radioactive anomaly concentration existed. Conclusion The 64 slice spiral CT on lumbar spine bone metastases has higher diagnosed sensitivity than 99Tcm-MDP whole body bone imaging, but the majority of patients by 99Tcm-MDP whole body bone imaging can obtain the clearer diagnosis.
