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摘要:目的:对肺原性骨关节增生病人(HPO)的全身骨显像进行分析,并与转移性囊肿病区别。 材料与方法:本文对542例肺癌骨显像中18例诊断为肺原性骨关节增生的病人进行了分析,其中13例经病理检查证实,按Ali方法进行分级,将HPO可能累及部位、放射性聚集程度与腰椎比较分析。结果:18例患者四肢长骨均有“双条”征。HPO好发于四肢骨,下肢骨高于上肢骨。胫腓骨最多,椎骨几乎没有。HPO通常会同时有多个关节周围对称的放射性增加。结论:HPO的骨显像放射性增加其对称性与否与其对放射性药物的摄取有关系,肺癌的HPO发生率占3.32％,其中腺癌最多,其次为腺鳞癌、鳞癌和其他病理类型的肺癌。HPO与其他恶性肿瘤的骨转移不难鉴别,因为二者的放射性分布特征完全不同。
Abstract : Objective: To analyze the whole-body bone imaging of patients with pulmonary osteoarticular hyperplasia (HPO) and to distinguish them from metastatic cysts. Materials and Methods: In this study, 18 cases of lung cancer with bone metastases diagnosed in 542 patients with lung cancer were analyzed. Among them, 13 cases were confirmed by pathological examination. According to the Ali method, classification of HPO may involve sites. The degree of aggregation and lumbar spine comparison analysis. Results: All 18 patients had “double bar” signs on the long bones of the limbs. HPO occurs in the limbs and the lower limbs are higher than the upper limbs. Most of the zygomatic bones, almost no vertebrae. HPO usually has a symmetrical increase in radioactivity around multiple joints at the same time. CONCLUSIONS: The increase in radiosensitivity of bone resorption by HPO is related to its uptake of radiopharmaceuticals. The incidence of HPO in lung cancer accounts for 3.32%, with the highest incidence of adenocarcinoma, followed by adenosquamous carcinoma, squamous cell carcinoma and other pathological types. Lung cancer. The bone metastasis of HPO and other malignant tumors is not difficult to distinguish because of their completely different radioactivity distribution characteristics.