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[儿童长管状骨急性血源性骨髓炎的放射性核素诊断]

[Radionuclide diagnosis of acute hematogenous osteomyelitis of the long tubular bones in children].

作者信息

Andronov S V, Dmitrienkov B N, Varlamov E V, Gubov Iu P

出版信息

Med Radiol (Mosk). 1984 Jul;29(7):3-5.

PMID:6087079
Abstract

Computerized osteoscintigrams of 54 children with osseous diseases (osteomyelitis, osseous tumors and arthritis) were analysed. 99mTc-pyrophosphate elevated accumulation in inflammatory processes was observed not only in the pathological zone but also in the epiphyses of the affected limb. The accumulation of the radiopharmaceutical agent calculated in several zones of the affected and healthy limbs provides for significant differential diagnosis of acute hematogenic osteomyelitis. In case of bone symmetric involvement by an inflammatory process and in osteomyelitis of the flat bones and the vertebral column the potentialities of the method are limited.

摘要

对54例患有骨疾病(骨髓炎、骨肿瘤和关节炎)的儿童的计算机化骨闪烁扫描图进行了分析。观察到,99mTc-焦磷酸盐不仅在炎症过程的病理区域,而且在患肢的骨骺中积聚增加。通过计算在患侧和健侧肢体的几个区域中放射性药物的积聚情况,有助于对急性血源性骨髓炎进行显著的鉴别诊断。在炎症过程对称累及骨骼以及在扁骨和脊柱骨髓炎的情况下,该方法的应用潜力有限。

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