辽宁医学院学报
遼寧醫學院學報
료녕의학원학보
JOURNAL OF LIAONING MEDICAL UNIVERSITY
2015年
3期
57-59
,共3页
ECT%DR%CT%骨转移瘤
ECT%DR%CT%骨轉移瘤
ECT%DR%CT%골전이류
ECT%DR%CT%metastatic tumor of bone
目的:探讨ECT诊断骨转移瘤的临床价值。方法对经病理证实为恶性肿瘤并发生骨转移的患者60例进行回顾性分析,比较DR、 CT及ECT全身骨扫描诊断骨转移瘤的效果。结果 ECT诊断骨转移瘤的敏感度、特异性、阴性预测值明显高于CT和DR,差异具有统计学意义(P<0.05);阳性预测值稍低于CT和DR,差异无统计学意义(P>0.05)。结论 ECT可早期全面检出肿瘤的骨转移灶,诊断效果优于CT及DR,临床上应联合应用DR、 CT及ECT,可提高诊断骨转移瘤的正确率。
目的:探討ECT診斷骨轉移瘤的臨床價值。方法對經病理證實為噁性腫瘤併髮生骨轉移的患者60例進行迴顧性分析,比較DR、 CT及ECT全身骨掃描診斷骨轉移瘤的效果。結果 ECT診斷骨轉移瘤的敏感度、特異性、陰性預測值明顯高于CT和DR,差異具有統計學意義(P<0.05);暘性預測值稍低于CT和DR,差異無統計學意義(P>0.05)。結論 ECT可早期全麵檢齣腫瘤的骨轉移竈,診斷效果優于CT及DR,臨床上應聯閤應用DR、 CT及ECT,可提高診斷骨轉移瘤的正確率。
목적:탐토ECT진단골전이류적림상개치。방법대경병리증실위악성종류병발생골전이적환자60례진행회고성분석,비교DR、 CT급ECT전신골소묘진단골전이류적효과。결과 ECT진단골전이류적민감도、특이성、음성예측치명현고우CT화DR,차이구유통계학의의(P<0.05);양성예측치초저우CT화DR,차이무통계학의의(P>0.05)。결론 ECT가조기전면검출종류적골전이조,진단효과우우CT급DR,림상상응연합응용DR、 CT급ECT,가제고진단골전이류적정학솔。
Objective To evaluate the clinical value of ECT in the diagnosis of metastatic tumor of bone. Methods 60 cases pathologically confirmed as cancer patients with bone metastases were retrospectively analyzed; the diagnosis effects by DR, CT and ECT were compared by scanning bones of the whole body. Results The sensitiveness, specificity and negative predictive value in di-agnosis of metastatic tumor of bone by ECT were significantly higher than those of CT and DR, the difference was statistically signifi-cant (P<0. 05). Positive predictive value was slightly lower than that of CT and DR, the difference was not statistically significant (P>0. 02). Conclusion ECT allows early detection of overall bone metastases, and the diagnosis effect is better than that of CT and DR. In clinical practice, DR, CT and ECT should be combined in order to improve the diagnostic accuracy of metastatic tumor of bone.