摘要
摘要:目的:对肺原性骨关节增生病人(HPO)的全身骨显像进行分析,并与转移性囊肿病区别。 材料与方法:本文对542例肺癌骨显像中18例诊断为肺原性骨关节增生的病人进行了分析,其中13例经病理检查证实,按Ali方法进行分级,将HPO可能累及部位、放射性聚集程度与腰椎比较分析。结果:18例患者四肢长骨均有“双条”征。HPO好发于四肢骨,下肢骨高于上肢骨。胫腓骨最多,椎骨几乎没有。HPO通常会同时有多个关节周围对称的放射性增加。结论:HPO的骨显像放射性增加其对称性与否与其对放射性药物的摄取有关系,肺癌的HPO发生率占3.32％,其中腺癌最多,其次为腺鳞癌、鳞癌和其他病理类型的肺癌。HPO与其他恶性肿瘤的骨转移不难鉴别,因为二者的放射性分布特征完全不同。
Purpose: To analyze the characteristics of hypertrophic pulmonary os-teoarthropathy (HPO) with lung carcinoma and differentiate between the bone metastases and HPO. Materials and Methods: had be 542 patients with lung carcinoma undertaken by Tc-99m MDP radionuclide imaging of whole body bone. The grade the radio accumulation of the whole body was to use Ali's method. Results: Of them 18 cases revealed the 'double stripes' sign on their limbs. The increase of activity on lower limbs was greater than that on upper limbs. On the tobia-fibulas was the highest radio accumulation, but on the vertebra was almost no accumulation. Aroand several joints there was high radio accumulation. Conclusions: The incidence of HPO in lung cancer was 3. 32%. The radio distribution was different completely between HPO and bone metastasis.
出处
《影像诊断与介入放射学》
1999年第1期18-19,共2页
Diagnostic Imaging & Interventional Radiology
关键词
肺癌
肺性骨关节病
肥大性
放射性核素显像
骨
Lung cancer Pulmonary Osteoarthropathy, hypertrophic Radionuclide image, bone
