Application of 99Tcm-MDP Three-Phase Bone Scintigraphy in the Surgery of Chronic Osteomyelitis
JI Heng-shan1,2,XUE Yang-bo1, ZHU Hong1,HU Yu-xiao1, ZHANG lei1
1.Department of Nuclear Medicine,
Nanjing General Hospital of Nanjing
Military Command, Nanjing Jiangsu
210002, China; 2.Medical School of
Nanjing University, Nanjing Jiangsu
210093, China
Abstract：Objective To investigate the effect of 99Tcm-MDP three-phase bone scintigraphy in the
surgery of chronic osteomyelitis. Methods Combined with surgical operation methods, the 99Tcm-
MDP three-phase bone scintigraphy data of 34 patients with chronic osteomyelitis who were
recruited from 2002 to 2008 in our hospital was analyzed to explore the diagnostic and therapeutic
value of 99Tcm-MDP three-phase bone scintigraphy in chronic osteomyelitis. Results The A/N ratio
was increased in 28 patients in blood flow phase, which indicated that the positive rate of chronic
osteomyelitis in blood flow phase was 82.4%. The abnormal gather of tracer agent was occurred
in soft tissues of 10 patients in blood pool phase and bones of 34 patients in delayed phase, which
indicated that the positive rates of chronic osteomyelitis in blood pool phase and delayed phase were
29.4% and 100%, respectively. Conclusion The scope, position and size of bone lesions can be
evaluated with 99Tcm-MDP three-phase bone scintigraphy, which can provide a correct guidance for
the surgeon to thoroughly remove necrotic tissue of bone lesions.
吉蘅山1,2，薛杨波1，朱虹1，胡裕效1，张垒1. 99Tcm-MDP骨三相显像在慢性骨髓炎外科手术治疗中的应用[J]. 中国医疗设备, 2014, 29(5): 126-127.
JI Heng-shan1,2,XUE Yang-bo1, ZHU Hong1,HU Yu-xiao1, ZHANG lei1. Application of 99Tcm-MDP Three-Phase Bone Scintigraphy in the Surgery of Chronic Osteomyelitis. China Medical Devices, 2014, 29(5): 126-127.
