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[1]劉艷,謝新立,杜彪,等.SPECT全身骨顯像在兒童和青少年腰痛診斷中的價(jià)值[J].中醫(yī)正骨,2017,29(04):42-45.
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SPECT全身骨顯像在兒童和青少年腰痛診斷中的價(jià)值()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年04期
頁碼:
42-45
欄目:
影像診斷
出版日期:
2017-04-20

文章信息/Info

作者:
劉艷謝新立杜彪阮翹韓星敏
鄭州大學(xué)第一附屬醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
腰痛 體層攝影術(shù)發(fā)射型計(jì)算機(jī)單光子 全身骨顯像 兒童 青少年
摘要:
目的:探討SPECT全身骨顯像在兒童和青少年腰痛診斷中的價(jià)值。方法:收集2012年5月至2014年10月因腰痛在鄭州大學(xué)第一附屬醫(yī)院就診的93例患兒的病例資料。男56例,女37例; 年齡4~15歲,中位數(shù)9歲; 病程8~38 d,中位數(shù)15 d。所有患兒最初的實(shí)驗(yàn)室檢查和常規(guī)X線檢查結(jié)果均為陰性或不能確診。均采用Discovery NM/CT670型單光子發(fā)射斷層掃描儀行SPECT全身骨顯像檢查,顯像劑選用99mTc-MDP。由2位有5年以上診斷經(jīng)驗(yàn)的核醫(yī)學(xué)醫(yī)師共同閱片確定是否存在陽性病變,最終通過病理檢查聯(lián)合MRI或CT檢查予以確診。結(jié)果:22例SPECT全身骨顯像診斷為陽性,均經(jīng)病理檢查聯(lián)合MRI或CT檢查確診; 71例SPECT全身骨顯像診斷為陰性的患兒僅2例確診為假陰性,經(jīng)MRI診斷為腰椎間盤突出癥。診斷的靈敏度為91.7%(22/24)、特異度為100%(69/69)、準(zhǔn)確度為97.8%(91/93),陽性預(yù)測值和陰性預(yù)測值分別為100%(22/22)和97.2%(69/71)。22例SPECT全身骨顯像檢查陽性的病例中,病灶位于脊柱11例、骨盆3例、骶髂關(guān)節(jié)3例、髖關(guān)節(jié)3例、骨外組織2例; 惡性腫瘤骨轉(zhuǎn)移7例、骨髓炎5例、骶髂關(guān)節(jié)炎3例、腰椎峽部裂3例、良性骨腫瘤2例和非骨性病變2例。結(jié)論:SPECT全身骨顯像能準(zhǔn)確探測多種引起兒童和青少年腰痛的骨骼病變和非骨性病變,其靈敏度和特異度均較高。建議將此檢查作為兒童和青少年腰痛的首次影像檢查方法,以避免不必要的檢查或延誤診斷。

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備注/Memo:
通訊作者:韓星敏 E-mail:[email protected]
更新日期/Last Update: 1900-01-01