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

作　　者：戴生[1] 冯坤[1] 牛庆亮[1] 夏祥阶 谭华云[2] 

机构地区：[1]潍坊市中医院核医学科,山东潍坊261041 [2]潍坊市人民医院,山东潍坊261031

出　　处：《中国骨质疏松杂志》2013年第9期938-940,共3页Chinese Journal of Osteoporosis

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。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 ＂ cap- 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.

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 

分 类 号：R817[医药卫生—影像医学与核医学]