骨ECT联合定位CT诊断骨转移的临床价值  

Bone Joint Positioning ECT the Clinical Value of CT in the Diagnosis of Bone Metastases

作　　者：丘博文[1] 张荣木 俞秀华[1] 

机构地区：[1]福建省龙岩市第二医院核医学科,福建龙岩364000

出　　处：《中外医疗》2016年第35期177-179,共3页China & Foreign Medical Treatment

摘　　要：目的分析骨转移诊断中骨ECT与定位CT联合应用的临床价值。方法整群选择该院2014年9月—2016年9月接收的疑似恶性肿瘤骨转移患者77例,均给予骨ECT检查,并对不确定性病灶实施定位CT检查,观察骨ECT诊断结果及骨ECT联合定位CT诊断结果。结果经骨ECT检查可知,诊断为骨转移瘤31例,准确率为77.5%;经骨ECT与定位CT联合检查可知,诊断为骨转移瘤39例准确率为97.5%。骨ECT与定位CT联合诊断的灵敏度、特异度、准确率、阳性预测值及阴性预测值均高于骨ECT,差异具有统计学意义(P<0.05)。结论骨转移临床诊断中,骨ECT联合定位CT诊断具有较高的敏感度及特异度,可提升诊断准确率,临床应用价值较大。Objective To analysis and diagnosis of bone metastases of bone ECT and positioning the clinical value of CT in combination with application. Methods Group selection our hospital in September 2014 to September 2016 received suspected malignant tumor, 77 cases of patients with bone metastases were performed bone ECT examination, and the uncertainty lesion location of CT examination, to observe the bone ECT ECT diagnosis and bone joint location of CT diagnosis.Results After bone ECT examination, and a diagnosis of bone metastases, the accuracy is 77.5%; After bone ECT, and location of CT examination, the diagnosis of bone metastases of 39 cases of accuracy is 97.5%. Bone ECT with location of CT in the diagnosis of sensitivity, specific degrees, accuracy, positive predictive value and negative predictive value are higher than bone ECT, statistically significant difference（P〈0.05）. Conclusion Clinical diagnosis of bone metastases and bone joint positioning ECT, CT has high sensitivity and the degree of specific, can improve diagnostic accuracy, is of relatively great value in clinical application.

关 键 词：骨ECT 定位CT 骨转移 诊断 

分 类 号：R5[医药卫生—内科学]