SPECT/CT在诊断骨髓炎的应用现状△

Current application of SPECT/CT in the diagnosis of osteomyelitis

摘要:

骨髓炎是临床上较为严重的一种骨骼疾病，可由需氧或厌氧菌、分枝杆菌及真菌引起，导致骨的感染和破坏，严重影响患者身心健康和劳动能力。早期诊断和治疗对于预后至关重要。常规影像学检查或单一的核医学功能显像受各种因素影响，均不能较早、较准确地诊断骨髓炎。单光子发射计算机断层成像（single photon emission computed tomography with computer-ized tomography, SPECT/CT） 融合显像有助于克服常规检查的缺点，可用于早期诊断骨髓炎，准确定位骨髓炎病灶，辅助指导治疗及预后分析，为骨髓炎的诊断提供了新方法。

Abstract:

Osteomyelitis is a serious bone disease in clinical practice, which can be caused by aerobic or anaerobic bacteria, mycobacte-ria and fungi, resulting in bone infection and destruction, seriously affecting the physical and mental health and working ability of patients.Early diagnosis and treatment are very important for good prognosis of osteomyelitis. However, conventional imaging examination or singlenuclear medicine functional imaging can not diagnose osteomyelitis early and accurately due to various factors. Single photon emission com-puted tomography (SPECT/CT) fusion imaging is helpful to overcome the shortcomings of routine examination, and can be used for early diag-nosis of osteomyelitis, accurate location of osteomyelitis lesions, provide a guidance of treatment and prognosis analysis, and is a new methodfor the diagnosis of osteomyelitis.