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| ~(67)镓显像在肺结节病的显像分析及临床应用 | |
| 引用本文： | 张春阳,冯华松,赵文锐,川玲.~(67)镓显像在肺结节病的显像分析及临床应用[J].军医进修学院学报,2009,30(2). |
| 作者姓名： | 张春阳 冯华松 赵文锐 川玲 |
| 作者单位： | 1. 解放军总医院研究生队,北京,100853 2. 海军总医院,呼吸科,北京,100037 3. 海军总医院,核医学科,北京,100037 |
| 摘 要： | 目的:探讨 67镓检查在临床中对肺部结节病诊断的价值.方法:回顾性分析疑为结节病的72例患者(66例结节病, 6例非结节病) 67镓显像资料,并对肺部X线、CT检查和病理检查结果等临床资料进行分析.结果: 66例结节病患者中, 67镓检查诊断准确性为83.3%(55/66), X线、 CT为78.8%(52/66),两者无显著性差异(P=0.656 8).临床诊断为结节病的12例患者,曾行病理检查无法明确诊断,行 67镓检查的诊断准确性(91.7%, 11/12)明显高于X线或CT检查诊断的准确性(33.3%, 4/12), P=0.011 4. 4例病理诊断不能与增殖型结核鉴别,X线或CT检查不能明确诊断, 3例 67镓检查明确诊断结节病, 1例 67镓检查未发现有典型的结节病改变,最后诊断为肺结核.结论:67镓检查对难以明确诊断的肺结节病有一定的诊断价值. |
| 关 键 词： | 结节病 肺 67镓显像 |
Diagnostic value of ~(67)Ga citrate scintigraphy for lung sarcoidosis and its clinical application |
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| ZHANG Chun-yang,FENG Hua-song,ZHAO Wen-rui,CHUAN Ling.Diagnostic value of ~(67)Ga citrate scintigraphy for lung sarcoidosis and its clinical application[J].Academic Journal of Pla Postgraduate Medical School,2009,30(2). | |
| Authors: | ZHANG Chun-yang FENG Hua-song ZHAO Wen-rui CHUAN Ling |
| Institution: | 1.School of Postgraduate Medical School;Chinese PLA General Hospital;Beijing 100853;China;2.Department of Respiratory Diseases;Navy General Hospital;Beijing 100037;3.Department of Nuclear Medicine;China |
| Abstract: | Objective:To evaluate the diagnostic value of 67Ga citrate scintigraphy for lung sarcoidosis and its clinical application.Methods:A total of 72 patients(66 patients with lung sarcoidosis and 6 patients without lung sarcoidosis but with tuberculosis)were included in this study.Their 67Ga citrate scintigraphy,chest X-ray film and CT as well as their pathological data were analyzed retrospectively.Results:The diagnostic accuracy of 67Ga citrate planar image and X-ray film combined with CT was 83.3%(55/66)and 7... |
| Keywords: | ]sarcoidosis pulmonary 67Ga citrate scintigraphy |
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