摘要
目的探讨核素骨显像诊断肺癌骨转移的临床价值。方法201例确诊的肺癌患者进行99Tcm-MDP骨显像检查,对骨转移的症状、部位、数量与病理类型进行回顾性分析。结果肺癌骨转移率为66.7%,肺腺癌较其他类型肺癌更易发生骨转移。骨转移部位以胸部骨骼为最多,其次为脊柱和骨盆。全身骨显像诊断肺癌骨转移的阳性率明显高于X线摄片与CT。结论全身核素骨显像对骨转移的诊断最有价值,肺癌患者应常规行全身骨显像随访。
Objective lung cancer. Methods A To evaluate the clinical value of bone imaging in diagnosing bone metastasis from total of 201 patients with diagnosed lung cancer were examined by 99^Tc^m-MDP bone imaging, and the bone metastatic sites, quantity and pathological types of those with skeletal metastases were reviewed and analyzed. Results Among these 201 patients, 134 cases were found with skeletal metastases, commonly in the thoracic bone, the sinal and pelvic bone. Lung cancer was identified easier to have the skeletal metastases of adenocarcinoma than other types of cancers. The positive rate of bone metastasis diagnosed by radionuclide bone imaging was rather higher than that of X-ray and CT. Conclusion Radionuclide bone imaging should be routinely performed in patients with lung cancer.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2006年第19期2004-2006,共3页
Journal of Third Military Medical University
关键词
肺癌
骨转移
放射性核素显像
亚甲基二磷酸盐
lung cancer
bone metastasis
radionuclide imaging
methylene bisphosphonates
