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目的 探讨不同病理类型肺癌骨转移的全身骨显像的特点。方法 应用SPECT放射性全身骨显像检查,分析肺癌骨转移发生率、转移部位与肺癌病理类型的关系。结果 不同类型肺癌骨转移的发生腺癌较高,其次鳞癌,未分化癌较低。肺癌骨转移发生部位以胸部、脊柱多见,其他依次为骨盆、四肢、颅骨。肺癌患者应常规进行全身骨显像,对肿瘤的分期、治疗方案的选择及预后判断均有重要的临床价值。
Objective To investigate the characteristics of whole body bone imaging of bone metastases of lung cancer with different pathological types. Methods SPECT radioactive whole body bone imaging was used to analyze the relationship between the incidence of bone metastases and the pathological types of lung cancer. Results The incidence of bone metastases in different types of lung cancer was higher in adenocarcinoma, followed by squamous cell carcinoma and undifferentiated carcinoma. The site of bone metastasis of lung cancer to the chest, spine more common, followed by the pelvis, limbs, skull. Patients with lung cancer should be performed routine bone imaging, the tumor staging, treatment options and prognosis have important clinical value.