【摘要】 应用SPECT(单光子发射计算机断层)显像技术,检查各种类型的血液病共136例,其中再生障碍性贫血46例。骨髓显像结果:Ⅰ型28例,Ⅱ型9例,Ⅲ型3例,Ⅳ型6例,其中Ⅰ型28例经治疗后,8例死亡,说明其预后较差。原发性血小板减少性紫癜24例检查结果:Ⅰ型7例,Ⅱ型2例,Ⅲ型12例,Ⅳ型3例。骨髓增生异常综合征18例,检查结果:Ⅰ型2例,Ⅱ型8例,Ⅲ型2例,Ⅳ型2例,Ⅴ型4例,其中有5例患者均很快转化为白血病,其他类型血液病的骨髓显像也有不同程度表现。12例淋巴结显像结果与病理切片结果符合率大于90％。显像结果对血液病的诊断提供有价值的辅助诊断依据,对一些疾病的预后判断做动态观察,是一种安全、简便、无创伤性的检查方法。更多还原

【Abstract】 By using single photon emission computed tomography (SPECT), 136 patients with various hematologuc diseases were investigated. Bone marrow imaging in 46 patients with aplastic anemia showed type I 28 cases, type II 9 cases, type III 3 cases, and type IV 6 cases. Among 28 patients with type I, 8 patients died. This result indicates that patients with character of type I has a poor prognosis. The results in 24 patients with idiopathic thrombocytopenic purpura (ITP) showed type I 7 cases, type II 2 cases, type III 12 cases, and type IV 3 cases. Bone marrow scintigraphy in 18 patients with Myelodysplastic syndrome (MDS) showed type I 2 cases, type II 8 cases, type III 2 cases, type IV 2 cases, and type V 4 cases. 5 out of 18 cases transformed to leukemia rapidly. The other hematologic disease had different imaging characters. The rate of conformation between lymphnodeimaging and patholgical examination in 12 patients with enlargement lymph nodes was higher than 90%. With imaging, useful information for diagnosis of hematologic disorders can be obtained. Our results showed that it is a safety, convenient, and non - invasive method for dynamic monitoring in some patients with hematologic disease.更多还原