Steinert H, Hahn K
Klinik mit poliklinik für Nuklearmedizin, Universitätsklinikum Mainz.
Rofo. 1996 Apr;164(4):318-23. doi: 10.1055/s-2007-1015662.
In a prospective study the value of the three-phase bone scintigraphy in the early diagnosis of Sudeck's atrophy was analysed.
137 patients with the clinical suspicion on Sudeck's atrophy in stage I were examined. By means of the clinical course and additional examinations (block response), pain experts confirmed the diagnosis separately.
With the findings of hyperperfusion of all 5 phalanges, homogeneous hyperaemia of the affected hand or the foot and periarticular increased uptake of the whole extremity a reliable diagnosis of Sudeck's atrophy was possible. The sensitivity was 95.9%, the specificity 100%. With bone scintigraphy Sudeck's atrophy could be clearly differentiated from an inactivity atrophy.
Three-phase bone scintigraphy is an excellent tool for the objective diagnosis of Sudeck's atrophy in stage I.
在一项前瞻性研究中，分析三相骨闪烁显像在早期诊断舒德克萎缩症中的价值。
对137例临床疑似处于I期舒德克萎缩症的患者进行检查。通过临床病程及其他检查（阻滞反应），疼痛专家分别确诊。
通过所有5个指骨的血流灌注增加、患手或患足的均匀充血以及整个肢体关节周围摄取增加的表现，能够可靠地诊断舒德克萎缩症。敏感性为95.9%，特异性为100%。通过骨闪烁显像，舒德克萎缩症可与失用性萎缩明显区分。
三相骨闪烁显像为I期舒德克萎缩症的客观诊断提供了一种极佳的手段。
