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| SPECT骨显像评价骨质疏松的临床价值 |
| The clinical value of SPECT bone imaging in the diagnosis of osteoporosis |
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| DOI： |
| 中文关键词: 核素骨显像 骨质疏松症 骨髓瘤 骨质疏松性骨折 诊断 |
| 英文关键词:Nuclide bone imaging Osteoporosis Myeloma Osteoporotic fracture Diagnosis |
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| 中文摘要: |
| 目的探讨SPECT骨显像诊断骨质疏松及其相关病变的临床价值。方法42例经确诊的骨质疏松及其相关病变患 者，其中男14例，女28例。所有患者行SPECT全身骨显像检查，显像后对所有患者及正常人进行对比分析。结果放射性 分布增高者颅骨32例(76. 2% )，腰椎28例(66. 7% )，同时出现颅骨、胸骨及腰椎放射性分布增高者和股骨放射性分布稀疏 者15例(35. 7% )。颅骨放射性分布增高者中有18例(56. 3% )顶部呈“帽样”改变，其余14例(43. 7%)不均匀放射性分布增 高。SPECT骨显像能发现在骨质疏松背景下发生的骨髓瘤、多发性骨折、骨关节炎等相关病变。结论SPECT核素骨显像可 作为骨质疏松患者的辅助检查项目。 |
| 英文摘要: |
| Objective To investigate the clinical value of SPECT bone imaging in the diagnosis of osteoporosis and its related diseases. Methods Forty-two patients， including 14 men and 28 women， who were diagnosed with osteoporosis and its related diseases，were selected. All the patients underwent SPECT whole -body bone imaging examination. After the examination，the data of all the patients were compared with the data of normal controls . Results Among all the patients，32 cases (76. 2% ) had increased radioactivity distribution in the skull，28 cases (66. 7% ) had increased radioactivity distribution in the lumbar vertebrae，and 15 cases (35. 7% ) had increased radioactivity distribution in the skull，the sternum，and the lumbar vertebrae，and while sparse radioactivity distribution in the femur. Among the patients who had increased radioactivity distribution in the skull ，18 cases (56. 3%) had ncap- like" changes at the top of the skull，while the remaining 14 cases (43. 7% ) had non-uniform distribution of increased radioactivity. SPECT bone scintigraphy could find the related diseases such as myeloma ，multiple fractures，and osteoarthritis under the background of osteoporosis. Conclusion SPECT bone imaging can be used as a supplemental examination for patients with osteoporosis . |
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