Montero A, Carril J M, Quirce R, Blanco I, Uriarte I, Bernal J M, Hernández A
Servicio de Medicina Nuclear, Hospital Universitario Marqués de Valdecilla. Santander, 39008, España.
Rev Esp Med Nucl. 1998;17(5):331-7.
The prognosis of infections complications after median sternotomy depends of precocious diagnoses and depth extension of infection. We wanted to analyze the use of 67Ga scintigraphy in this pathology, comparing planar studies an SPECT. We studied 22 patients with suspect of infection complication after median sternotomy, the final diagnoses were 5 mediastinitis, 10 osteomyelitis and 7 patients with other pathology. 67Ga scintigraphy diagnosed correctly the 5 mediastinitis, 9 of 10 osteomyelitis and descarted both pathology in the other 7 patients. Planar studies only were able to diagnose correctly 3 of 5 mediastinitis and the another 2 were correctly diagnosed by SPECT. 67Ga scintigraphy is useful in the diagnosis of infection complication after median sternotomy and SPECT is better than planar studies in the diagnosis of mediastinitis.
正中开胸术后感染并发症的预后取决于早期诊断和感染的深度扩展。我们想分析67镓闪烁扫描在这种病理情况下的应用，比较平面显像和单光子发射计算机断层显像（SPECT）。我们研究了22例怀疑正中开胸术后有感染并发症的患者，最终诊断为5例纵隔炎、10例骨髓炎和7例其他病理情况。67镓闪烁扫描正确诊断出5例纵隔炎、10例骨髓炎中的9例，并排除了其他7例患者的这两种病理情况。平面显像仅能正确诊断出5例纵隔炎中的3例，另外2例由SPECT正确诊断。67镓闪烁扫描在正中开胸术后感染并发症的诊断中有用，且SPECT在纵隔炎的诊断中比平面显像更好。
