全身骨显像联合超声检查在肺癌骨转移诊断中的价值

Clinical value of whole body imaging combined with ultrasonography in diagnosing bone metastasis from lung cancer

目的探讨全身骨显像联合超声检查在肺癌骨转移诊断中的价值。方法选择150例肺癌患者进行全身骨显像检查,并对可疑病灶进行超声检查,与CT、MRI或病理活检结果对照。结果 150例患者经全身骨显像检查后共有65例患者221个可疑骨转移灶,联合超声检查后,对于可穿透探查的133个病灶,超声拟诊其中5个病灶为良性病变,与临床确诊4个良性病变比较,误诊1个;联合超声和临床确诊结果均表明,肺癌骨转移多位于胸部。结论骨全身显像联合超声检查诊断肺癌患者骨转移可以优势互补,值得推广。

Objective To explore the clinical value of whole body bone imaging combined with ultrasonography in diagno- sing bone metastasis from lung cancer. Methods The whole body bone imaging combined with ultrasonography were used to find the suspicious lesions in 150 lung cancer patients, and the result was compared with pathologybiopsy, CT or MRI. Results There were 65 patients who had 221 suspicious lesions after using whole body bone imaging. Among 133 lesions which could be penetrated by ultrasonography, 5 lesions were benign. Compared with ciinical diagnosis, one was misdiagnosed. The bone metastasis of lung cancer mainly occurred in the chest. Conclusion The accuracy of diagnosis of metastasis can be improved by using the whole bone imaging combined with ultrasonography.