婴幼儿童核医学检查总结

Summary of nuclear medicine examination in infants and young children

目的:分析核医学检查在临床应用中的实用性、准确性。方法:2008年7月31日～2009年7月31日本院共225例0～14岁的儿童申请核医学检查。申请项目分别是甲状腺检查,消化道出血检查,肾动态+GFR检查,全身骨扫描。结果:甲状腺显像阳性率为41.3%,消化道出血检查阳性率为21.7%,双肾扫描中阳性率高达84.7%,全身骨扫描阳性率为47.1%。结论:核医学检查由于有较强的辐射损伤因而在婴幼儿童的检查中应用不多,但在以上4个项目中有其他检查所不可替代的优势,值得临床推广。

Objective：To analyze the availability and accuracy of nuclear medicine examination in clinical application.Methods：From July 31,2008 to July 31,2009,a total of 225 children aged 0 to 14 applied for nuclear medicine examination in our hospital.The applications included thyroid examination,gastrointestinal bleeding examination,renal dynamic＋GFR examination and whole body bone scan.Results：The positive rate of thyroid imaging was 41.3%,gastrointestinal bleeding examination 21.7%,renal scan of both kidneys as high as 84.7% and whole body bone scan 47.1%.Conclusion：Due to the strong radiation damage of nuclear medicine examination,it is rarely applied among children.But in the above four items,it has irreplaceable advantages over other examinations,thereby worthy of clinical promotion.