核医学在骨转移癌诊断与治疗中的临床应用

The clinical application of nuclear medicine for diagnosis and treatment of bone metastatic tumor

目的:探讨骨转移癌的有效诊断方式。方法:对2013年2月—2014年9月接受诊治的304例肿瘤患者的临床诊断及治疗资料进行回顾性分析,所有患者均给予X线及放射核素显像(ECT)检查,并应用89Sr Cl2对患者进行治疗。结果:早期骨转移癌进行检查时,放射核素显像检查的阳性率显著高于X线检查。采用89Sr Cl2对304例骨转移癌患者进行治疗后,骨转移癌的治疗有效率为30.56%,骨疼痛缓解率为75.00%。结论:在骨转移癌的临床诊断中,应用放射核素显像检查对患者进行诊断的阳性率较高,是一种较为理想的诊断方式;采用89Sr Cl2治疗骨转移癌,可有效缓解患者骨痛症状,提高治疗效果。

Objective： To explore effective diagnostic methods and clinical value of bone metastases tumor. Methods： From February in 2013 to September in 2014,the clinical diagnosis and treatment data of 304 cases were retrospectively analyzed. All patients were given X- ray and radionuclide imaging（ ECT） inspection,and patients were treated by89 Sr Cl2. Results： Early check of bone metastatic tumor,the positive rate of radionuclide imaging examination was significantly higher than X- rays. After the use of89 Sr Cl2for 300 cases with bone metastases tumor were treated,the effective rate of with bone metastases tumor is30. 56%,bone pain relief was 75%. Conclusion： In the clinical diagnosis of bone metastases tumor,the application of radionuclide scintigraphy way for patients has higher diagnosed positive rate,it is an ideal diagnostic mode; using89 Sr Cl2for patients with bone metastases tumor can effectively alleviate the pain symptoms of patient,improved therapeutic effect.