核素全身骨显像在脊柱结核诊治中的临床价值

Clinical value of radionuclinde bone imaging in spinal tuberculosis

[目的]评价核素全身骨显像在脊柱结核诊治中的价值。[方法]对175例脊柱结核采用99Tcm-MDP(亚锡亚甲基二膦酸盐)核素全身骨显像,了解脊柱病灶的显影情况和全身其他骨关节是否并存病灶的情况。[结果]175例患者全部显像为阳性,其中伴有多节段椎体结核者146例,其中2个椎体者78例,3个椎体者26例,4个椎体以上者42例。伴有四肢骨关节结核者22例,伴骶髂关节结核者29例。[结论]核素全身骨显像在脊柱结核诊治中有重要价值,可以发现全身骨与关节多个结核病灶,对制定脊柱结核的治疗方案有指导作用。

[ Objective] To evaluate the value of ECT in diagnosing and treatment the spinal tuberculosis. [ Method] ECT by injecting 99Tcm-MDP to human body was used to know the developing of focus in spinal tuberculosis and whether other bone and joints tuberculosis were complicating simultaneously. [ Result] The developing of 175 patients were positive, including multi-vertebral bodies tuberculosis 146 cases, which were composed of 2 vertebral bodies 78 case, 3 vertebral bodies 26 cases, 4 vertebral bodies and more 42 cases. Complicating tuberculosis of bones and joints 22 cases, articulatio sacroiliaca 29 cases. [ Conclusion] ECT plays an important role in diaognosing the spinal tuberculosis and the tuberculose focus of body can be found and has the guidance for doctors to formulate the therapeutic regimem of spinal tuberculosis.