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首页> 外文期刊>Annals of Nuclear Medicine >The usefulness of Tc-99m-MDP bone scintigraphy in detection of articular involvement of Beh?et’s disease
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The usefulness of Tc-99m-MDP bone scintigraphy in detection of articular involvement of Beh?et’s disease

机译：Tc-99m-MDP骨闪烁显像在检测贝氏疾病的关节受累中的有用性

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摘要

Articular involvement was reported to be present in approximately 5-76% of Behçet patients. Therefore, we need a useful non-invasive method to detect articular involvement early in Behçet patients with nonspecific complaints. We aimed to evaluate the usefulness of99mTc-methylene diphosphonate (Tc-99m-MDP) bone scintigraphy in the detection of the articular involvement of Behçet’s disease (BD). Bone scintigraphy with Tc-99m-MDP was performed in 32 (17 male, 15 female) consecutive patients with BD. The sacroiliac (SI) joints with SI index higher than 1.34 were diagnosed as having sacroiliitis. Although joint complaints were present in only 8 (25%) patients, we detected joint involvement by scintigraphy in 27/32 (84.4%) Behçet patients mostly affecting the knees (62.5%), ankles (59.4%), SI joints (25%), wrists (21.9%), shoulders (18.7%), elbows (12.5%) and hips (3.1%). The articular involvement was monoarticular in four cases (12.5%) and was oligoarticular in the remaining. There was no correlation between joint involvement and age, gender, disease duration, drug usage or other clinical manifestations. Despite the fact that our patients were clinically asymptomatic and had normal pelvis radiography, sacroiliitis was found in 8 patients (25%). Bone scintigraphy is sensitive in the diagnosis of joint involvement allowing earlier diagnosis and showing the presence of articular involvement, especially in SI joints.
机译：据报道，约有5-76％的Behçet患者存在关节受累。因此，我们需要一种有用的非侵入性方法来早期检测非特异性主诉的Behçet患者的关节受累情况。我们旨在评估99mTs-二甲基亚甲基膦酸酯（Tc-99m-MDP）骨闪烁显像技术在检测Behçet病（BD）的关节受累中的实用性。连续32例（17例男性，15例女性）BD患者进行了Tc-99m-MDP骨闪烁显像。 SI指数高于1.34的sa关节被诊断为sa关节炎。尽管只有8（25％）位患者出现关节不适，但我们通过闪烁显像发现有27/32位患者（84.4％）关节受累，主要影响膝盖（62.5％），脚踝（59.4％），SI关节（25％）的Behçet患者），手腕（21.9％），肩膀（18.7％），肘部（12.5％）和臀部（3.1％）。关节受累为四例（12.5％）为单关节，其余为少关节。关节受累与年龄，性别，疾病持续时间，药物使用或其他临床表现之间无相关性。尽管我们的患者在临床上无症状且骨盆造影正常，但在8例患者中发现了found肌炎（25％）。骨闪烁显像术对关节受累的诊断很敏感，可以早期诊断并显示关节受累的存在，特别是在SI关节中。

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  • 来源
    《Annals of Nuclear Medicine》 |2006年第10期|649-653|共5页
  • 作者

    Mehmet ahin; Sevket Ercan Tunc; Mustafa Yildiz; Sureyya Cerci; Harun Suslu; Erkan Cure; Ali Kutlucan;

  • 作者单位

    Department of Internal Medicine Division of Rheumatology Siileyman Demirel University School of Medicine 32020 Isparta Turkey;

    Department of Internal Medicine Division of Rheumatology Siileyman Demirel University School of Medicine 32020 Isparta Turkey;

    Department of Nuclear Medicine Süleyman Demirel University Faculty of Medicine Isparta Turkey;

    Department of Nuclear Medicine Süleyman Demirel University Faculty of Medicine Isparta Turkey;

    Department of Nuclear Medicine Süleyman Demirel University Faculty of Medicine Isparta Turkey;

    ***Department of Internal Medicine Süleyman Demirel University Faculty of Medicine Isparta Turkey;

    ***Department of Internal Medicine Süleyman Demirel University Faculty of Medicine Isparta Turkey;

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  • 正文语种 eng
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  • 关键词

    arthritis; Behçet’s disease; bone scintigraphy; sacroiliitis;

    机译：关节炎;贝塞特氏病;骨闪烁显像;sa肌炎;

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