摘要
目的:探讨达到临床愈合期后骨折部位核素骨显像表现及其临床意义。方法回顾性分析经临床检查确诊的各部位骨折患者30例,共54处骨折,所有病例均有明确外伤史,均达到临床愈合标准,分析骨折部位核素骨显像表现。结果54处骨折,经骨扫描发现有轻度核素浓聚的有44处,在骨折4个月~1.5年的时间内,绝大多数骨折部位均有核素摄取63%,超过2年,胫骨骨折部位摄取核素的病例,均为老年男性,且有较长的糖尿病病史。结论骨折临床愈合后数月乃至数年内,骨质的重建可能仍未结束,临床上仍需给予患者康复指导,谨防骨损伤的发生。
Objective To investigate the clinical value of radionuclide bone imaging performance of fraceture after the clinical healing period.Methods 30 patients with 54 fracture site of clinical y confirmed fracture were observed retrospectively,every patient had achieved clinical healing of standard.To analysis the radionuclide bone imaging of fracture sites.Results In the 54 fracture sites,the results of radionuclide bone imaging in 44 cases showed in mild nuclide concentration.The vast majority(63%)of fracture sites showed in nuclide concentration,in 4 months to1.5 years time after the fracture occurred.More than two years,tibial fracture sites of older men that suf ers from diabetes stil uptaked imaging agent.Conclusions Months or even years after clinical healing of fracture,bone remodeling may stil not over,clinician stil need to give the patient clinical rehabilitation guidance,beware of bone lesions.
作者
张建媛
尤立强
ZHANG Jian-yuan;YOU Li-qiang(Baoding City The First Central Hospital Department of Nuclear Medicine,Baoding Hebei 071000,China)
关键词
骨折
临床愈合期
核素骨显像
Fracture
Clinical healing period
Radionuclide bone imaging
