Koppers B
Rofo. 1982 Nov;137(5):564-79. doi: 10.1055/s-2008-1056257.
37 patients with clinically and radiologically proved reflex sympathetic dystrophy syndrome were scintigraphed by 99mTc-MDP (three-phase-scintigraphy). In 87% of the examinations (all three-phases) an increased tracer accumulation in the region of the affected limb could be seen scintigraphically. The majority of the positive results (92% resp. 87%) were found in the interval phase (phase II) and the late phase (phase III) of the scintigraphic examinations.--We recommend a staging of the increase of the tracer accumulation when examining the reflex sympathetic dystrophy syndrome. This staging doesn't significantly correlate with the familiar clinical and radiological stagings. However it may be useful when assessing the course of the syndrome.--Increased tracer accumulations could be observed in the case of clinically, radiologically and scintigraphically manifest reflex sympathetic dystrophy syndrome in the region of the foot, frequently in the ipsilateral knee region, rarely in the ipsilateral hip joint region, although clinically the syndrome could not be observed in these regions.
37例临床及放射学证实为反射性交感神经营养不良综合征的患者接受了99mTc-MDP骨三相显像检查。在87%的检查(所有三相)中,骨显像可见患侧肢体区域放射性示踪剂摄取增加。大多数阳性结果(分别为92%和87%)出现在骨显像检查的间期(II期)和晚期(III期)。——我们建议在检查反射性交感神经营养不良综合征时对放射性示踪剂摄取增加进行分期。这种分期与常见的临床和放射学分期无显著相关性。然而,在评估综合征的病程时可能有用。——在临床、放射学和骨显像均显示为反射性交感神经营养不良综合征的病例中,足部区域可见放射性示踪剂摄取增加,同侧膝关节区域常见,同侧髋关节区域少见,尽管临床上在这些区域未观察到该综合征。