摘要
目的探讨和分析结节病的18F-FDG PET/CT表现,为结节病的正确诊断提供依据。方法回顾性分析16例的结节病患者的临床资料及PET/CT表现,分析总结病变累及部位、大小、标准摄取值(SUV)特点。结果有咳嗽、胸闷等症状者12例,无症状者4例;淋巴结累及者16例:15例累及纵隔及双肺门淋巴结,5例累及锁骨上窝淋巴结,4例累及腹腔或腹膜后淋巴结,2例累及腹股沟淋巴结;有临床症状者淋巴结大小为(27.42±8.92)mm,无临床症状者(26.25±8.54)mm,两者无统计学差异(P<0.918)。两组代谢均有不同程度的增加,有临床症状者SUV最大值(8.34±3.54),无临床症状者SUV最大值(4.20±2.56),两者无统计学差异(P<0.273)。结外脏器累及:双肺多发结节影或斑片影8例,胸膜累及2例,皮肤累及1例,所有结外病灶代谢均有增加,SUV最大值为1.5～4.5不等。结论 PET/CT能准确地反映结节病的病灶分布范围和病灶活性,为临床诊断和治疗提供依据。
Objective To investigate and analyze 18F - FDG PET / CT features of sarcoidosis, and improve the diagnostic accuracy of this benign disease. Methods A retrospective analysis of clinical data of 16 cases of sarcoidosis and PET / CT performance, analyze and summarize the lesions involving the location, size, standard uptake value （SUV） features. Results （1）symptoms of cough, chest tightness and other symptoms of 12 cases, 4 cases of those who are a- symptomatic. （2）involved lymph nodes of 16 cases： 15 cases involving the mediastinum and lung hilar lymph nodes, 5 cases involving the supraclavicular fossa lymph nodes, 4 cases involving the abdominal membrane lymph nodes, 2 cases involving the inguinal lymph nodes. The clinical symptoms of lymph node size was （ 27.42 ± 8.92 ） ram, （ 26. 25 ±8.54）ram clinical symptoms, there was no significant difference （ P 〈918）. The metabolism of two groups were increased in varying degrees of clinical symptoms SUVmax of （ 8.34 ± 3.54） , no clinical symptoms SUVmax （4. 20 ± 2. 56） , there was no significant difference （ p. 273 ）. Extranodal organs involved ： multiple lung nodules or plaques, shadow 8 cases involving the 2 cases, pleural, skin involving 1 cases, increased in all extranodal lesions metabolism, SUVmax value ranging from 1.5 to 4. 5. Conclusions PET / CT can accurately reflect the scope and focus of activity of sarcoidosis lesion distribution, provide a,basis for clinical diagnosis and treatment.
出处
《医药论坛杂志》
2012年第9期24-25,27,共3页
Journal of Medical Forum
