摘要
目的探讨ECT诊断骨转移瘤的临床价值。方法对经病理证实为恶性肿瘤并发生骨转移的患者60例进行回顾性分析,比较DR、CT及ECT全身骨扫描诊断骨转移瘤的效果。结果 ECT诊断骨转移瘤的敏感度、特异性、阴性预测值明显高于CT和DR,差异具有统计学意义(P<0.05);阳性预测值稍低于CT和DR,差异无统计学意义(P>0.05)。结论 ECT可早期全面检出肿瘤的骨转移灶,诊断效果优于CT及DR,临床上应联合应用DR、CT及ECT,可提高诊断骨转移瘤的正确率。
Objective To evaluate the clinical value of ECT in the diagnosis of metastatic tumor of bone. Methods 60 cases pathologically confirmed as cancer patients with bone metastases were retrospectively analyzed ; the diagnosis effects by DR, CT and ECT were compared by scanning bones of the whole body. Results The sensitiveness, specificity and negative predictive value in diagnosis of metastatic tumor of bone by ECT were significantly higher than those of CT and DR, the difference was statistically significant （ P 〈 0. 05 ）. Positive predictive value was slightly lower than that of CT and DR, the difference was not statistically significant （ P 〉 0. 02）. Conclusion ECT allows early detection of overall bone metastases, and the diagnosis effect is better than that of CT and DR. In clinical practice, DR, CT and ECT should be combined in order to improve the diagnostic accuracy of metastatic tumor of bone.
出处
《辽宁医学院学报》
CAS
2015年第3期57-59,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
