^(18)F-FDG PET/CT在不明原因多浆膜腔积液中的应用价值  

Value of ^(18)F-FDG PET/CT in unknown polyserositis

作　　者：郭佳[1] 陈跃[1] 黄占文[1] 张春银[1] 蔡亮[1] 张莉[1] 

机构地区：[1]泸州医学院附属医院核医学科,四川泸州646000

出　　处：《重庆医学》2011年第8期767-768,F0003,共3页Chongqing medicine

基　　金：2008年四川省卫生厅四川省医学重点学科建设项目(2008-17)

摘　　要：目的探讨18F-脱氧葡萄糖正电子发射体层摄影术(FDG PET)/CT全身显像在不明原因多浆膜腔积液中的应用价值。方法回顾性分析14例多浆膜腔积液患者的PET/CT显像资料,并将显像结果与病理及临床随诊对比分析。结果 PET/CT诊断恶性肿瘤6例,分别为子宫内膜癌、肺癌、胃癌、乳腺癌、卵巢癌、宫颈癌,符合病理及最终临床诊断;诊断良性病变5例,分别为肺炎2例及胸腹膜炎、心肌炎、心包炎各1例,其中1例肺炎患者被证实为食管癌,余4例均与最终临床诊断相符;PET/CT未见异常3例,其中1例为结核,另2例诊断不明。结论 18F-FDG PET/CT全身显像在不明原因多浆膜腔积液中有重要价值。Objective To evaluate the clinical value of ^18F-FDG PET/CT in unknown polyserositis.Methods14 patients with polyserositis underwent whole body ^18F-FDG PET/CT imaging.The results of PET/CT imaging were based on pathologic examinations and clinical follow-up.Results6 cases were diagnosed malignant by PET/CT,and they were originated in endometrium,lung,stomach,breast,ovary and cervix,respectively.The 6 cases of PET/CT results were in accordance with pathology and follow-up.5 cases were diagnosed benign by PET/CT,and they were pneumonia,pleurisy and peritonitis,myocarditis and pericarditis,respectively.Except 1 case of pneumonia was proven as esophagus cancer,the other 4 cases were in keeping with follow-up.PET/CT no abnormality seen in the rest 3 cases,but 1 case was identified as tuberculosis.Conclusion^18F-FDG PET/CT has important role in unknown polyserositis.

关 键 词：体层摄影术 发射型计算机 体层摄影术 X线计算机 脱氧葡萄糖 多浆膜腔积液 

分 类 号：R817[医药卫生—影像医学与核医学]