Sanpera Ignacio, Beguiristain-Gurpide José L
Pediatric Orthopaedic Unit, Hospital Universitari de Son Dureta, Palma de Mallorca, Spain.
J Pediatr Orthop. 2006 Mar-Apr;26(2):221-5. doi: 10.1097/01.bpo.0000218528.13492.d3.
Retrospective review of 142 patients from 2 teaching hospitals, investigated for persistent backache. The inclusion criteria were to be up to 18 years, to have no known associated diseases, and to have had a bone scan as a part of their work up. Other tests were also used to reach the final diagnosis. The utility of the bone scan to detect underlying pathology was assessed. On the whole, 75 patients were found to have pathology while only 52 children had a positive bone scan. We also looked for associated findings that could indicate the presence of pathology. The age of the patients, the duration of symptoms, and the presence of night pain seemed to be irrelevant on predicting underlying pathology. The sensitivity of the bone scan was low, 0.613 (95% CI: 0.549-0.654), although it proved to be highly specific, 0.91 (95% CI: 0.83-0.95). A careful analysis of the data and the different diagnosis suggests that Technetium bone scan still holds a place in the study of these patients; however, there is a big concern by the fact that some primary malignancies went undetected on the scan.
对来自两家教学医院的142例因持续性背痛接受检查的患者进行回顾性研究。纳入标准为年龄在18岁及以下、无已知相关疾病且在检查过程中进行过骨扫描。还使用了其他检查来做出最终诊断。评估了骨扫描检测潜在病理情况的效用。总体而言，发现75例患者有病理情况，而只有52例儿童骨扫描呈阳性。我们还寻找了可能表明存在病理情况的相关发现。患者的年龄、症状持续时间和夜间疼痛的存在似乎与预测潜在病理情况无关。骨扫描的敏感性较低，为0.613（95%置信区间：0.549 - 0.654），尽管其特异性较高，为0.91（95%置信区间：0.83 - 0.95）。对数据和不同诊断结果的仔细分析表明，锝骨扫描在这些患者的研究中仍占有一席之地；然而，令人担忧的是，扫描未检测到一些原发性恶性肿瘤。
