Scoles P V, Hilty M D, Sfakianakis G N
Clin Orthop Relat Res. 1980 Nov-Dec(153):210-7.
Sixteen patients with acute hematogenous osteomyelitis underwent serial Tc-99m-diphosphonate bone scanning on admission and at intervals of four to seven days thereafter. Scans were analyzed by computer-assisted determination of the ratio of activity in the lesion to that in a corresponding area of normal bone. Two patterns were observed. In seven children this ratio was low initially and increased during hospitalization despite clinically adequate therapy. In nine children the ratio was high initially and decreased during therapy. Lack of focal uptake within bone on the initial scan performed within the first three days of the onset did not exclude the diagnosis of osteomyelitis.
16例急性血源性骨髓炎患者在入院时及此后每隔4至7天接受了系列锝-99m二膦酸盐骨扫描。通过计算机辅助测定病变部位与正常骨相应区域的活性比值来分析扫描结果。观察到两种模式。在7名儿童中，该比值最初较低，尽管临床治疗充分，但在住院期间仍有所升高。在9名儿童中，该比值最初较高，在治疗期间降低。在发病后头三天内进行的首次扫描中，骨内缺乏局灶性摄取并不能排除骨髓炎的诊断。
