现代医药卫生2016，Vol.32Issue(19)：2982-2986,5.DOI:10.3969/j.issn.1009-5519.2016.19.016
PET/CT应用于恶性淋巴瘤诊治中的临床价值
Clinical value of PET/CT applied in diagnosis and treatment of malignant lymphoma
刘艳 1沈丽达 2杨小芸 3李蓉 4张晓芸3
作者信息
- 1. 曲靖市第二人民医院，云南655000
- 2. 云南省肿瘤医院昆明650000
- 3. 云南省肿瘤医院昆明650000
- 4. 攀枝花学院附属医院，四川攀枝花617000
- 折叠
摘要
Abstract
Objective To investigate the clinical value of PET/CT in the diagnosis,clinical value,curative effect evalua-tion and residual lesion diagnosis of malignant lymphoma(ML). Methods Ono hundred and fifty-three cases of ML considered by PET/CT examination in the Yunnan Provincial Tumor Hospital from January 2008 to December 2013 were collected ,screened according to different research purposes ,grouped and statistically analyzed. Results The diagnosis positive rate of PET/CT was 96.08%(147/153). The maximal PET/CT standard uptake value (SUVmax) for diagnosing ML was 9.26-10.94,the mean SUV (ΔSUV) was 7.54-8.95.ΔSUV in the non-Hopdgkin lympghoma(NHL) group was higher than that in the Hodgkin lymphoma (HL) group,but the difference was not statistically significant(P<0.05);in 52 cases of preoperative PET/CT and CT combined with ultrasound examination,the clinical stage by CT combined with ultrasound examination in 16 cases were adjusted after PET/CT examination;ΔSUV had statistical difference between before and after treatment (P<0.05);in 34 cases of preoperative and post-operative PET/CT examination for evaluating the curative effects ,their curative effect judgments were consistent in 21 cases and inconsistent in 13 cases. Conclusion The PET/CT examination has high positive rate for diagnosing ML and may serve as a reli-able imagiological basis for clinically diagnosing lymphoma;the SUV value is an important indicator in the PET/CT examination;the PET/CT examination is an important means of the clinical staging and curative effect evaluation of ML ,which is not only used to judge the curative effect by the lesion size ,but also to assess the metabolic condition of residual lesion by the SUV value for guiding clinic to formulate the rational treatment scheme.关键词
淋巴瘤,恶性/PET/CT/SUV值/诊断/霍奇金病Key words
Lymphoma,malignant/PET/CT/SUV/Diagnosis/Hodgkin disease引用本文复制引用
刘艳,沈丽达,杨小芸,李蓉,张晓芸..PET/CT应用于恶性淋巴瘤诊治中的临床价值[J].现代医药卫生,2016,32(19):2982-2986,5.
