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目的探讨胸部CT联合骨扫描对单发肋骨浓聚灶鉴别诊断的临床价值。方法回顾分析104例单发肋骨浓聚病例的浓聚形态及骨质改变。分析两者之间及与随访结果之间的关系。结果 69.3%单发肋骨浓聚灶胸部CT联合骨扫描可明确诊断。74.3%骨折表现为点状、结节状浓聚。转移灶的浓聚形态取决于骨质改变,57.7%条形浓聚为转移。27例患者不能确诊需随访。结论骨显像单发肋骨浓聚灶联合观察胸部CT有助于鉴别诊断,可避免不必要的随访。
Objective To investigate the clinical value of chest CT combined with bone scintigraphy in the differential diagnosis of single rib focal tissue. Methods A retrospective analysis of 104 cases of single rib concentration of the concentration of cases and bone changes. Analyze the relationship between the two and with follow-up results. Results 69.3% single ribs chest CT chest CT scan can confirm the diagnosis. 74.3% fractures showed punctate, nodular agglomeration. Concentration of metastases depends on the bone changes, 57.7% of the bar for the transfer of concentration. 27 patients can not be confirmed need for follow-up. Conclusion Bone imaging single rib focal stove combined observation of chest CT is helpful in the differential diagnosis, to avoid unnecessary follow-up.