[儿童佩特兹病中γ闪烁显像定量评估的诊断重要性]

[The diagnostic importance of a quantitative evaluation of gamma scintigraphy in Perthes' disease in children].

作者信息

Dmitrienkov B N, Fedin A V, Zhvaniia T G, Subbotina E N

出版信息

Med Radiol (Mosk). 1989 Jul;34(7):19-23.

Abstract

The investigation was performed in 28 children with Perthes disease, stages I-III. The comparison of visual and quantitative assessment of gamma-scintigrams has shown that the use of the coefficient of differential accumulation as a criterion of asymmetry of RP accumulation in the hip joints makes it possible to increase 4-fold the effectiveness of diagnosis at stage I of Perthes disease, the most difficult one for x-ray diagnosis. At more advanced stages neither visual nor quantitative assessment of gamma-scintigrams is superior to roentgenography. Therefore the use of gamma-scintigraphy seems appropriate in Perthes disease at stage I.

摘要

对28例I - III期佩特兹病患儿进行了调查。γ闪烁图视觉评估与定量评估的比较表明，使用差异积聚系数作为髋关节放射性核素积聚不对称的标准，能够将佩特兹病最难进行X线诊断的I期诊断效率提高4倍。在更晚期，γ闪烁图的视觉评估和定量评估均不优于X线摄影。因此，γ闪烁扫描术在佩特兹病I期的应用似乎是合适的。