Constantinesco A, Brunot B, Demangeat J L, Foucher G, Farcot J M
Ann Chir Main. 1986;5(2):93-104. doi: 10.1016/s0753-9053(86)80021-7.
In reflex sympathetic dystrophy, three phase radionuclide bone scanning with Tc-99m methylene diphosphonate is preferred. The first phase corresponds to the dynamic behavior of the tracer. After appropriate data processing (by Fourier's analysis), three functional images may be obtained. The second phase corresponds to the tissues fixation of the tracer 5 to 10 minutes after the injection. Based on the results of 89 cases of post-traumatic or postsurgical reflex sympathetic dystrophy observed in 128 patients investigated with this method, diagnostic sensitivity was 96%, while specificity was 86%. The scintigraphic patterns observed during the 100 week period after the initial trauma demonstrate the precocity and the significance of circulatory and tissues phenomena as well as their variations according to treatment. The scintigraphic criteria of regression or stabilization of disease are discussed.
在反射性交感神经营养不良中，首选使用锝-99m亚甲基二膦酸盐进行三相放射性核素骨扫描。第一相对应示踪剂的动态行为。经过适当的数据处理（通过傅里叶分析），可获得三张功能图像。第二相对应注射后5至10分钟示踪剂在组织中的固定情况。基于用该方法对128例患者进行研究观察到的89例创伤后或术后反射性交感神经营养不良的结果，诊断敏感性为96%，特异性为86%。在初始创伤后的100周期间观察到的闪烁显像模式表明了循环和组织现象的早熟性及重要性，以及它们根据治疗的变化情况。文中还讨论了疾病消退或稳定的闪烁显像标准。
