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99Tcm-MDP骨三相显像在慢性骨髓炎外科手术治疗中的应用

吉蘅山 薛杨波 朱虹 胡裕效 张垒

中国医疗设备Issue(5):126-127,84,3.
中国医疗设备Issue(5):126-127,84,3.DOI:10.3969/j.issn.1674-1633.2014.05.044

99Tcm-MDP骨三相显像在慢性骨髓炎外科手术治疗中的应用

Application of 99Tcm-MDP Three-Phase Bone Scintigraphy in the Surgery of Chronic Osteomyelitis

吉蘅山 1薛杨波 2朱虹 1胡裕效 1张垒1

作者信息

  • 1. 南京军区南京总医院核医学科,江苏南京210002
  • 2. 南京大学医学院,江苏南京210093
  • 折叠

摘要

Abstract

Objective To investigate the effect of 99Tcm-MDP three-phase bone scintigraphy in the surgery of chronic osteomyelitis. Methods Combined with surgical operation methods, the 99Tcm-MDP three-phase bone scintigraphy data of 34 patients with chronic osteomyelitis who were recruited from 2002 to 2008 in our hospital was analyzed to explore the diagnostic and therapeutic value of 99Tcm-MDP three-phase bone scintigraphy in chronic osteomyelitis. Results The A/N ratio was increased in 28 patients in blood lfow phase, which indicated that the positive rate of chronic osteomyelitis in blood lfow phase was 82.4%. The abnormal gather of tracer agent was occurred in soft tissues of 10 patients in blood pool phase and bones of 34 patients in delayed phase, which indicated that the positive rates of chronic osteomyelitis in blood pool phase and delayed phase were 29.4% and 100%, respectively. Conclusion The scope, position and size of bone lesions can be evaluated with 99Tcm-MDP three-phase bone scintigraphy, which can provide a correct guidance for the surgeon to thoroughly remove necrotic tissue of bone lesions.

关键词

慢性骨髓炎/SPECT/放射性核素/骨三相显像

Key words

chronic osteomyelitis/SPECT/radioactive nuclide/three-phase bone scintigraphy

分类

医药卫生

引用本文复制引用

吉蘅山,薛杨波,朱虹,胡裕效,张垒..99Tcm-MDP骨三相显像在慢性骨髓炎外科手术治疗中的应用[J].中国医疗设备,2014,(5):126-127,84,3.

基金项目

南京军区南京总医院课题(2011024)。 ()

中国医疗设备

OACSTPCD

1674-1633

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