中国临床医学2016，Vol.23Issue(4)：433-436,4.DOI:10.12025/j.issn.1008-6358.2016.20160652
FDG-PET／CT在心脏外科术后慢性胸骨正中切口感染临床诊治中的首次应用
Application of FDG-PET/CT in the diagnosis of chronic sternal median incision infection
冯自豪 1张汝凡 1施越冬 1张勇 1顾建英 1石洪成 2亓发芝1
作者信息
- 1. 复旦大学附属中山医院整形外科，上海 200032
- 2. 复旦大学附属中山医院核医学科，上海 200032
- 折叠
摘要
Abstract
Objective:To evaluate the qualitative and localization diagnostic value of PET/CT in chronic sternal median incision infection after heart surgery and the guiding function of PET/CT image in debridement .Methods:Twenty‐one patients with chronic sternal median incision infection admitted to our hospital from February 2015 to December 2015 underwent PET/CT examinations within one week prior to surgery were selected .Detection of extent of sternal wound infection and localization diagnoses of costal chondritis were conducted by using PET/CT and CT ,and the results were compared with the diagnosis results during surgery .The qualitative and localization diagnostic value of PET/CT in chronic sternal median incision infection were evaluated .Debridement was guided by the PET/CT images .Patients were followed up for 6‐16 months after operation ,and the debridement and reconstructive surgery effect on chronic sternal median incision infection was evaluated . Results:There were 20 cases of sternal osteomyelitis ,18 cases of mediastinitis ,and 9 cases of costal chondritis .Accuracies of PET/CT in above diagnoses were all 100% .Sensitivity ,specificity ,positive predictive value ,negative predictive value ,and accuracy of PET/CT in localizing involved costal cartilages were 85 .71% ,99 .74% ,96 .00% ,98 .99% ,and 98 .81% , respectively .Sensitivity , negative predictive value , and accuracy of PET/CT in localizing involved costal cartilages were significantlyhigherthanthoseofCT(Pvalueswere0.002,0.008,and0.01).Curerateofpatientswithcostalchondritisafter first debridement operation was 85 .7% .Conclusions:PET/CT is of high accuracy in qualitative diagnosis and localization compared with CT in chronic sternal median incision infection after heart surgery , which is promising in guidance of debridement operation .关键词
PET/CT/胸骨正中切口感染/肋软骨炎/诊断Key words
PET/CT/sternal median incision infection/costal chondritis/diagnosis分类
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冯自豪,张汝凡,施越冬,张勇,顾建英,石洪成,亓发芝..FDG-PET／CT在心脏外科术后慢性胸骨正中切口感染临床诊治中的首次应用[J].中国临床医学,2016,23(4):433-436,4.
