全身骨扫描在肝癌术前筛查中的临床意义

Clinical value of emission computed tomography in patients with hepatocellular carcinoma for preoperative screening

目的:探讨全身骨扫描在肝癌术前筛查中的临床意义。方法:210例原发性肝癌患者术前行全身骨扫描检查,统计骨转移检出率,分别和整组患者中的检出率进行比较。最后对发生骨转移的患者的确诊依据进行分析。结果:全部210名肝癌患者中,骨转移的检出率为8.57%(18/210),其中有症状组的检出率为18.75%(6/32),无症状组中骨转移的检出率为6.74%(12/178)。有症状组的检出率和全组检出率比较有统计学意义(P<0.05),无症状组的检出率和全组检出率比较无统计学意义(P>0.05)。结论:对于具有骨转移临床症状的肝癌患者行骨扫描是必要的,但尚需其他辅助检查确诊,无骨转移症状患者行全身骨扫描不能提高骨转移的早期发现率。

Objective： To investigate the clinical value of emission computed tomography in patients with hepatocellular carcinoma for preoperative screening.Methods： 210 patients with hepatocellular carcinoma were divided into two groups based on the clinical symptoms of bone metastasis,whole-body bone scan were carried out in all patients before operation,the bone metastasis rates were then obsevered and compared.Finally,the basis of bone metastasis were analysed in both groups.Results： The bone metastasis rates of whole group was 8.57%（18/210）,which symptoms group was detected 18.75%（6 / 32）,while the asymptomatic group was 6.74%（12/178）.Detection rate of the symptomatic group and the whole group was statistically significant（P〈0.05）.Detection rate of the asymptomatic group,and the whole group showed no statistically significance（P〈0.05）.Conclusion： whole-body bone scan in patients with hepatocellular carcinoma which has clinical symptoms of bone metastasis is necessary,but still need other auxiliary diagnose methods,asymptomatic patients with whole-body bone scan does not improve the rates of early detection of bone metastases.