67Ga-Citrate(Cit)和99Tcm-MIBI显像与CT在头颈部肿瘤诊断中的应用  

Application Analysis of 67Ga-Citrate( Cit),99Tcm-MIBI Scintigraphy and CT Scanning for Head and Neck Neoplasm

作　　者：李欣 

机构地区：[1]广州市中西医结合医院核医学科,广东广州510800

出　　处：《中国民族民间医药》2015年第19期84-86,共3页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探究头颈部肿瘤采用67Ga-Citrate(Cit)、99Tcm-MIBI显像及CT诊断的临床价值。方法:选取头颈部肿瘤患者50例,手术前行67Ga-Citrate(Cit)、99Tcm-MIBI显像及CT检查。结果:本次研究中,67Ga-Citrate(Cit)具有较高的灵敏性,CT检查具有较高的特异性,采用67Ga-Citrate(Cit)和99Tcm-MIBI显像检查头颈部肿瘤,在良性肿块诊断方面,两种方法无统计学差异(P>0.05);在恶性肿瘤方面,67Ga-Citrate(Cit)明显高于99Tcm-MIBI显像检查,结果具有统计学差异(P<0.05)。结论:临床上诊断头颈部肿瘤,若需判断肿瘤性质可首选67Ga-Citrate(Cit)显像;若需要了解肿瘤的位置、大小或周围组织情况,需进一步做CT检查。临床上将67Ga-Citrate(Cit)显像与CT影像相结合,可有效提高临床诊断的准确度。Objective To study the clinical value of 67Ga - Citrate （ Cit）, 99Tcm - MIBI scintigraphy and CT scanning for head and neck neoplasm. Method Before surgery, 50 patients with head and neck neoplasm in our hospital adopted the detections of 67Ga - Citrate （ Cit）, 99Tcm - MIBI scintigraphy and CT scanning. Result 67Ga - Citrate （Cit） had a higher sensitivity; CT diagnosis had a higher specificity; the detection of benign neoplasms based on 67Ga -Citrate （Cit） and 99Tern - MIBI scintigraphy was not sig- nificantly different （ P 〉0. 05 ） ; the detection of malignant neoplasm based on 67Ga - Citrate （Cit） was significantly higher than that of 99Tcm -MIBI scintigraphy （P 〈 0.05 ）. Conclusion In clinical practice, 67Ga- Citrate （Cit） scintigraphy can be the first choice to judge the characters of head and neck neoplasms; CT scanning can be used to judge the position, size or tissues of neoplasms. The combination of 67Ga - Citrate （Cit） and CT scanning can effectively enhance the accuracy of clinical diagnosis.

关 键 词：头颈部肿瘤 67Ga-Citrate(Cit) 99TCM-MIBI显像 CT检查 

分 类 号：R739.4[医药卫生—肿瘤]