^(99m)Tc-亚甲基二磷酸骨扫描在确定开胸术后胸骨骨髓炎清创范围中的应用价值  

Application value of ^(99m)Tc-methylene diphosphonate bone scan on determining area for debridement after median sternotomy

作　　者：李汉华[1] 熊兵[1] 郑少逸[1] 刘族安[1] 黄志锋[1] 卞徽宁[1] 孙传伟[1] 马亮华[1] 罗红敏[1] 郑远华 陈华德[1] 赖文[1] 

机构地区：[1]广东省人民医院(广东省医学科学院)烧伤与创面修复外科,广州510100

出　　处：《岭南心血管病杂志》2016年第6期698-701,712,共5页South China Journal of Cardiovascular Diseases

基　　金：广东省医学科学基金(项目编号:B2013019);"十二五"国家科技支撑计划(项目编号:SQ2011SF12C03081)

摘　　要：目的探讨^(99m)Tc-亚甲基二磷酸(^(99m)Tc-methylene diphosphonate,^(99m)Tc-MDP)骨扫描在确定开胸术后胸骨骨髓炎清创范围中的应用价值。方法回顾性收集开胸术后胸骨骨髓炎患者67例,根据骨髓炎清创术前是否接受骨扫描检查分为骨扫描组和对照组,比较两组间胸骨骨髓炎的复发率是否具有差别。结果骨扫描组复发率较对照组明显降低,差异具有统计学意义(12.8%vs.56.3%,P=0.002)。结论胸骨骨髓炎清创术前采用骨扫描检查协助确定清创范围有利于彻底清创,减少骨髓炎复发,值得临床推广。Objectives To investigate the application value of ^99mTc-methylene diphosphonate（^99mTc-MDP） bone scan on determining area for debridement after median sternotomy. Methods Totally 67 patients with sternal osteomyelitis after median sternotomy were included in this study and they were divided into bone scanning group and control group based on whether they had bone scans before receiving osteomyelitis debridement. Recurrence of sternal osteomyelitis was compared between the two groups. Results Recurrence rate was obviously lower in bone scanning group than in control group, and the difference was statistically significant（12.8% vs. 56.3%, P=0.002）. Conclusions Using bone scan to help determine the surgical excision area before sternal osteomyelitis debridement is conducive to a thorough debridement with a reduction in the recurrence rate and worthy of clinical promotion.

关 键 词：^99mTc-亚甲基二磷酸 骨扫描 胸骨骨髓炎 胸大肌皮瓣 清创 复发 

分 类 号：R818.84[医药卫生—放射医学]