Coulaud J P, Mechali D, Morau G
Ann Med Interne (Paris). 1982;133(4):261-5.
Bone scintigraphy with 99 m technetium labelled phosphorus compounds was achieved in 50 west Africans migrant workers in Paris. Bone and joint tuberculosis was assumed in 20 cases. In 5 of these 20 cases, bone scan, but not X-Ray, showed abnormalities, and in 4, bone scan disclosed more localisations than X-Rays. In 7 cases, yet, bone scan was normal, with major osteolytic X-Rays lesions in 3 cases, minor in 2 cases, and isolated cold abscesses in two more cases: these means 7 false-negative results. Among the 30 other cases, 29 were considered as mechanical vertebral pathology, and 1 sacro-iliitis Brucellosis. Bone scan was normal in 28 cases the 2 others are unexplained false-positive. Although non-specific and not completely reliable, we think that bone-scanning is useful in bone-tuberculosis check-up, especially to obtain early diagnosis and detect multifocal localisations.
对50名在巴黎的西非移民工人进行了用99m锝标记的磷化合物的骨闪烁扫描。20例被怀疑患有骨与关节结核。在这20例中，5例骨扫描显示异常而X线检查未显示异常，4例骨扫描发现的病变部位比X线检查更多。然而，有7例骨扫描结果正常，其中3例X线显示有严重溶骨性病变，2例显示轻度病变，另外2例有孤立性冷脓肿：这意味着有7例假阴性结果。在其他30例中，29例被认为是机械性脊椎病变，1例为布鲁氏菌性骶髂关节炎。28例骨扫描结果正常，另外2例为无法解释的假阳性。尽管骨扫描是非特异性的且并非完全可靠，但我们认为骨扫描在骨结核检查中是有用的，特别是有助于早期诊断和发现多灶性病变。
