放射性核素全身骨显像诊断肺癌骨转移

Diagnosis of Bone Matastases of Lung Cancer Radionuclide Bone lmaging

本文报告１８４例经病理证实的原发性肺癌骨显像的结果，对不同组织学类型肺癌骨转移的特点和规律进行分析。本组肺癌骨转移性率６６．３％（１２２／１８４），骨转移部位以胸部最多，为３５％，其他依次为脊柱２５．２％，骨盆２２．４％，肢体１５．６％，颅骨１．８％。多发性转移灶占８１．１５％（９９／１２２），孤立性转移灶１８．８５％。肺癌患者应常规行全身骨显像检查，对分期、治疗方案的选择及预后均有重大意义。

e porformed the radionuclide bone imaging in 184 patients with lung cancer, who were confirmed pathologically。Among them,122 cases (66.3%)were identified as having skelctdal matdstases。 There were significant deviations in different sites of skeletal matastases(P< 0.01).There were 35%in thorax,25.2%in spine,22.6%in pelvis,15.6%in limbs,1.8%in skull,and 81.15%in multiple matastatic lesions and l8.85%in solitary matasti1ses。The results indicate that radionuclide bone imaging should be performed in patients with lung cancer and is of importance for evaluation of stage,treatment and prognosis in lung cancer