【摘要】 目的　提高全身骨显像对骨病的诊断准确性和确定诊断率。方法　每个病人用99Tcm MDP进行骨全身显像及局部放大显像。结果　 14 0例不能确定诊断者经过手术、穿刺病理检查 ,或经复查显像 ,X线、CT、MRI证实 ,确定诊断为骨肿瘤 78例 ( 4 1% ) ,骨关节病 3 6例 ( 2 6% ) ,骨创伤 15例 ( 11% ) ,骨结核 7例 ( 5 % ) ,骨炎症 4例 ( 3 % )。结论　全身骨显像表现不典型者一个或两个病灶时仍以肿瘤可能最多 ,应做为第一考虑 ,骨关节病病灶多发生在颈、腰椎和膝关节处 ,有创伤史者考虑骨创伤可能 ,骨结核和炎症虽为少数也需与肿瘤鉴别。掌握这些规律可以提高全身骨显像诊断的准确性和确诊率。更多还原

【Abstract】 Objective To rise the accuracy of diagnosis and definite diagnostic rate of osteopathy in whole body bone imaging.Methods All of the patients underwent whole body and regional bone imaging with 99 Tc m MDP.Results In 140 cases of indefinitely diagnosed,78 cases were diagnosed as bone tumor (41%),36 cases as osteoarthropathy (26%),15 cases as trauma of bone (11%),7 cases as tuberculosis of bone (5%),4 cases as inflammation of bone (3%),by pathologic studies or reviews of bone imaging or X ray,CT,MRI.Conclusion When we see one or two focuses that do not manifest typically in whole body bone imaging,bone tumor should also be the first consideration.Focuses in the cervical vertebra or lumbar vartebra are mostly regarded as osteoarthropathy,focuses in the patient with a injured history are mostly regarded as trauma.Tuberculous and inflammation of bone should also be taken into account,although they are not common.Thus we can rise the accuracy and definite diagnosis rate of bone imaging.更多还原