骨显像在儿童郎格尔汉斯细胞组织细胞增生症诊断及随访中的价值  

The value of bone scintigraphy in the diagnosis and follow-up of Langerhans' cell histiocytosis

作　　者：邵虹[1] 施美华[1] 王静蕾[1] 潘慧红[1] 吴靖川[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心影像诊断中心,200127

出　　处：《中华核医学杂志》2005年第1期52-53,共2页Chinese Journal of Nuclear Medicine

摘　　要：目的　探讨骨显像在诊断儿童郎格尔汉斯细胞组织细胞增生症 (LCH)及其随访中的临床价值。方法　 2 3例LCH患儿行全身骨显像检查。结果　 2 3例LCH患儿中骨显像阳性 19例 ,颅骨异常放射性分布灶 8例 ,锁骨、肋骨、骨盆受累各 3例 ,上肢 2例 ,下肢 4例 ,脊柱 5例 ,胸骨下端异常稀疏灶 1例。 19例阳性显像中 ,单处骨骼病变者 9例。结论　骨显像的部分特征性表现有助于LCH的诊断及随访。Objective To investigate the clinical value of bone scintigraphy in the diagnosis and follow-up of Langerhans' cell histiocytosis (LCH). Methods Whole-body bone scintigraphy was performed on 23 LCH patients. Results Nineteen of 23 patients (82.6%) showed positive in their bone scan. Eight cases were with cranial abnormal uptake, clavicle, rib and pelvis involvements were seen and each was of 3 cases, respectively, upper limb, lower limb and spinal abnormal uptakes were seen in 2, 4 and 5 patients, respectively, and 1 child had photon deficient area in the lower part of the sternum. Among 19 positive scintigrams, solitary bone lesion was shown in 9 patients (47.4%). Conclusion Characters of bone scintigraphy in LCH are useful in the diagnosis and follow-up of this disease.

关 键 词：诊断 骨显像 LCH 随访 郎格尔汉斯细胞 组织细胞增生症 阳性 结论 特征 目的 

分 类 号：R817.4[医药卫生—影像医学与核医学]