放射性核素骨显像在腰腿痛患者中的应用价值  

The applied value of radionuclide bone imaging in patients with lumbocrural pain

作　　者：吴志兴[1] 吕宽[1] 李尚滨[1] 

机构地区：[1]山东大学附属省立医院核医学科,山东济南250021

出　　处：《医学影像学杂志》2010年第3期424-426,共3页Journal of Medical Imaging

摘　　要：目的:探讨放射性核素全身骨显像在腰腿痛患者中的应用价值。方法:对我院以腰腿痛为主要症状、X线、CT检查结果完整的患者417例进行了全身骨显像,并按患者有无肿瘤病史将其分为两组,其中肿瘤病史组165例,非肿瘤病史组252例。分别观察了核素骨显像在这两组患者中的应用情况。结果:肿瘤病史组165例检出肿瘤骨转移68例,占39.4%,非肿瘤病史组252例检出肿瘤骨转移28例,占11.1%。核素骨显像对椎体退行性变、椎间盘突出、椎管狭窄等常导致腰腿痛的疾病没有特异性图像表现。结论:对有肿瘤病史的腰腿痛患者应首选核素全身骨显像检查。对于无肿瘤病史的腰腿痛患者,只对查不出确切病因或对症治疗无效的患者,加做全身骨显像以排除有无肿瘤骨转移。Objective：To explooe the applied value of radionuclide bone imaging in patients with lumbocrural pain.Methods：Whole body bone scan was done respectively in 417 patients with lumbocrural pain as their main complaints and having detailed examination results of X-ray and CT as well.According to the carcinoma history existing or not,417 cases were divided into two groupsic,165 cases into carcinoma group and 252 cases into non-carcinoma group.The applied value of radionuclide bone imaging among the two groups was observed.Results：68 cases（39.4%,68/165） were found skeletal metastases in group carcinoma and 28 cases（11.1%,28/252） were found skeletal metastases in group non-carcinoma.Radionuclide bone imaging had no especial findings among these diseases such as lumbar canal stenosis, lumbar intervertebral disc herniation and lumbar vertebra degenerative change,etc,which usually cause lumbocrural pain.Conclusion：Whole body bone scan should be done first in lumbocrural pain patients who have carcinoma history.To low back and leg pain patients without carcinoma history,whole body bone scan is only used when the etiology of lumbocrural pain is uncertain and treatment is inefficacy to determine whether an unknown carcinoma metastasis to bone or not.

关 键 词：全身骨显像 腰腿痛 骨转移 

分 类 号：R817.4[医药卫生—影像医学与核医学] R681[医药卫生—放射医学]