【摘要】：目的:分析總結(jié)易被誤診為多發(fā)骨轉(zhuǎn)移瘤的疾病的全身骨顯像特征,為核醫(yī)學(xué)醫(yī)師鑒別診斷這些疾病提供可借鑒的經(jīng)驗。方法:回顧性研究2008年1月—2014年5月我科以骨骼多發(fā)病變?yōu)楸憩F(xiàn)的全身骨顯像病例,重點(diǎn)分析易被誤診為多發(fā)骨轉(zhuǎn)移瘤的病例,總結(jié)各類誤診疾病的骨顯像特征。結(jié)果:多發(fā)性骨髓瘤、多發(fā)性骨纖維異常增殖癥、多發(fā)性骨結(jié)核、甲狀旁腺功能亢進(jìn)癥所致骨病、侵犯骨骼的淋巴瘤、骨髓纖維化、多發(fā)性骨嗜酸性肉芽腫等疾病可出現(xiàn)類似于多發(fā)骨轉(zhuǎn)移瘤的全身骨顯像表現(xiàn),易被誤診。但分析總結(jié)后發(fā)現(xiàn)多發(fā)性骨髓瘤、多發(fā)性骨結(jié)核、多發(fā)性骨纖維異常增殖癥、甲狀旁腺功能亢進(jìn)癥所致骨病具有一些不同于骨轉(zhuǎn)移瘤的全身骨顯像特征。結(jié)論:類似多發(fā)骨轉(zhuǎn)移瘤骨顯像表現(xiàn)的部分疾病具有一些骨顯像特征,這些特征有助于核醫(yī)學(xué)醫(yī)師鑒別骨轉(zhuǎn)移瘤與上述疾病。
[Abstract]:Objective: to analyze and summarize the characteristics of systemic bone imaging of diseases that are easily misdiagnosed as multiple bone metastases, and to provide useful experience for nuclear medicine doctors in differential diagnosis of these diseases. Methods: from January 2008 to May 2014, we retrospectively studied the cases of bone scintigraphy in our department, which were characterized by bone occurrences, and analyzed the cases that were easily misdiagnosed as multiple bone metastases, and summarized the characteristics of bone imaging of various misdiagnosed diseases. Results: multiple myeloma, multiple fibrous dysplasia, multiple bone tuberculosis, hyperparathyroidism, lymphoma invading bone, bone marrow fibrosis, Multiple bone eosinophilic granulomatosis and other diseases may present systemic bone imaging similar to multiple bone metastases and are easily misdiagnosed. But it was found that multiple myeloma, multiple bone tuberculosis, multiple fibrous dysplasia and hyperparathyroidism had some characteristics of bone imaging different from bone metastases. Conclusion: some diseases similar to the bone imaging findings of multiple bone metastases have some characteristics of bone imaging which are helpful for nuclear medicine doctors to distinguish bone metastases from these diseases.
【作者單位】： 第三軍醫(yī)大學(xué)附屬西南醫(yī)院核醫(yī)學(xué)科;
【分類號】：R816.8

【參考文獻(xiàn)】

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