肾性骨病核素骨显像结果分析

目的 探讨99Tcm-亚甲基二磷酸盐(99Tcm-MDP)骨显像在肾性骨病中的应用价值.方法 选择我院2008～2011年经过确认的肾性骨病36例,行核素SPECT显像,分析其影像学表现.结果 10例双侧胫腓骨摄取增加;8例双下肢骨、6例全身长骨骨摄取不均匀;5例全身关节膨大,双侧肱骨、股骨弯曲畸形;6例全身关节膨大伴周围软组织钙化;1例全身关节膨大伴全身多处软组织包块.结论 结合临床资料,99Tcm-MDP骨显像能准确判断病变性质,可为肾性骨病的诊治提供有力依据.

Radionuclide bone imaging results of renal osteopathy

Objective To discuss the application value of technetium 99Tcm-methylene diphosphonate（99Tcm-MDP）in renal osteopathy（RO）.Methods Thirty six patients diagnosed RO in our hospital from 2008 to 2011 were selected to receive the nuclide single photon emission computed tomography（SPECT）imaging.And their manifestation was analyzed.Results The uptake of bilateral tibiofibula in 10 cases increased.Uneven bone uptake occurred in bones of both lower limbs in 8 cases and long bones over the whole body in 6 cases.In 5 cases,joint intumescentia occurred over the whole body,and the bilateral humerus and femur bones were twisted and crooked.In 6 cases,joint intumescentia occurred over the whole body combined with calcification of surrounding soft tissues.In 1 case,joint intumescentia occurred over the whole body combined with several soft tissue masses.Conclusion Associated with the clinical data,99Tcm-MDP bone imaging can accurately judge the nature of pathological changes and provide effective evidence for the diagnosis and treatment of renal osteopathy.