【摘要】 目的：探讨同位素骨扫描对跟痛症诊断及治疗的临床意义。方法：对４８例跟痛症患者进行了双足骨扫描及Ｘ线摄片检查，并用２５例无症状者作为对照，对治愈的８例患者跟踪观察。结果：发现骨扫描诊断阳性率高达９８％，而放射学发现有骨刺者仅为５４％，治疗后症状消失的患者骨扫描复查也转阴性，而骨刺仍然存在。结论：跟痛症不是由于骨刺所致，故Ｘ线检查帮助不大，而同位素骨扫描在跟痛症的诊断及疗效的评估中有较大的临床意义更多还原

【Abstract】 Objective:To investigate the significance of bone scan in the diagnosis and therapy of painful heel syndrome.Method:Forty eight patients with painful heel syndrome were given Tc 99m MDP bone scintigraphy and X ray examination,25 asymptomatic patients were also examined for contrast.Results:We found the diagnostic sensitivity of bone scan was as high as 98%,meanwhile,the diagnostic sensitivity of the X ray was only 54%.The bone scan became normal in those patients who were successfully cured when reviewed,but the osteophytes still existed.Conclusion:Painful Heel syndrome is not caused by osteophytes,so X ray is not of much significance.In the meantime,bone scintigraphy has much higher significance in the diagnosis and therapy of painful heel syndrome.更多还原