[骨显像在胸锁关节骨质增生症诊断中的应用价值]

[Usefulness of bone imaging in diagnosis of sternocostoclavicular hyperostosis].

作者信息

Sakata H, Miyauchi T, Ono Y, Takeshita M, Takagishi N, Hayashi N, Toshitani S

机构信息

Department of Radiology, School of Medicine, Fukuoka University, Japan.

出版信息

Radioisotopes. 1989 Feb;38(2):76-9. doi: 10.3769/radioisotopes.38.2_76.

DOI:10.3769/radioisotopes.38.2_76

PMID:2785277

Abstract

Sternocostoclavicular hyperostosis (SCCH) is a rare disease that is characterized by hyperostosis and soft tissue ossification between the clavicles and the anterior part of the upper ribs. There have been few published reports of 99mTc-MDP bone imaging findings in this disease. Thirty-three patients who were suspected to have SCCH were studied with 99mTc-MDP bone imaging. Bone images were abnormal in 31 (94%) of 33 patients. Chest radiographs were available in 30 patients, but negative in 14 (46%) of them. Bone imaging revealed also radionuclide accumulations in other bones such as the vertebrae, femur or sacroiliac joints in ten (14 sites) of 33 cases. Bone scintigraphy was useful in the diagnosis of sternoclavicular hyperostosis.

摘要

胸锁关节骨肥厚症（SCCH）是一种罕见疾病，其特征为锁骨与上位肋骨前部之间的骨质增生和软组织骨化。关于该疾病的99mTc-MDP骨显像结果，此前发表的报告很少。对33例疑似患有胸锁关节骨肥厚症的患者进行了99mTc-MDP骨显像研究。33例患者中有31例（94%）骨显像异常。30例患者有胸部X光片，但其中14例（46%）为阴性。骨显像还显示，33例中有10例（14个部位）在其他骨骼如椎骨、股骨或骶髂关节处有放射性核素聚集。骨闪烁显像对胸锁关节骨肥厚症的诊断很有用。