Kim Maru, Hong Tae Hwa, Cho Hang Joo
Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, Cheonbo-ro Uijeongbu-si - South Korea.
Ulus Travma Acil Cerrahi Derg. 2019 Mar;25(2):183-187. doi: 10.5505/tjtes.2018.55068.
It is easy to miss injuries in patients with major trauma (MT). The authors hypothesized that bone scans (BSs) would reduce the number of missed injuries. However, there was not enough evidence on BS in patients with MT. The purpose of the present study was to identify the basic results of BS in patients with MT.
The medical records of patients with MT between January 2013 and December 2013 were reviewed. Patients who underwent a BS were enrolled in the study. Hot-uptake lesions without previous evaluation were checked by X-ray. Hot-uptake lesions on BSs that differed from previous evaluations were checked by computed tomography (CT) scans. The results of BSs were analyzed along with the results of X-ray and CT scans. The sensitivity, specificity, positive predictive value, and negative predictive value (NPV) were calculated.
There were 115 patients with MT who received BS during the study period. The sensitivities were high on average (98.48-86.54). In addition, the NPVs were high (96.30-82.93). There were 16 cases of hidden fracture diagnosed after a BS.
BS showed high sensitivity and high NPV. Further large-scale studies might add more validity to the use of BS in patients with MT.
在严重创伤（MT）患者中，损伤容易被漏诊。作者推测骨扫描（BS）可减少漏诊损伤的数量。然而，对于MT患者进行骨扫描的证据并不充分。本研究的目的是明确MT患者骨扫描的基本结果。
回顾了2013年1月至2013年12月期间MT患者的病历。纳入接受了骨扫描的患者。对既往未评估的放射性摄取增高病变进行X线检查。对骨扫描中与既往评估不同的放射性摄取增高病变进行计算机断层扫描（CT）检查。将骨扫描结果与X线和CT扫描结果一起分析。计算敏感性、特异性、阳性预测值和阴性预测值（NPV）。
在研究期间，有115例MT患者接受了骨扫描。平均敏感性较高（98.48 - 86.54）。此外，阴性预测值也较高（96.30 - 82.93）。骨扫描后诊断出16例隐匿性骨折。
骨扫描显示出高敏感性和高阴性预测值。进一步的大规模研究可能会为MT患者使用骨扫描增添更多有效性。
