口腔干燥综合征放射性核素显像的临床意义初探

Clinical Value of Radionuclids Salivary Imaging in the Diagnosis ofXerostomia

  • 摘要: 49例疑口腔干燥综合征患者接受了99mTCO4-唾腺显像,根据腮腺显影情况、速度、与甲状腺放射性比及排泄情况将显像结果分为正常(-)5例;轻度异常(+)19例;中度异常(+)20例和重度异常()5例。显像表现与性别、年龄、病程、一般化验结果间无明确相关,但与患者γ球蛋白量相关。()表现者病情较长。大部份病例治疗后好转,临床痊愈2例显像均为(-),而无效2例均为()。核素唾腺显像阳性率为90%,特异性91.6%。

     

    Abstract: Radionuclide salivary scintigraphy was carried out on 49 cases of xerostomia usingTc-99m-O 4.Judged by tracer uptake,distribution and clearance of parotid glands,and other im-aging characteristics,the scintigram were graded into four groups:normal(-)5,slightly abnor-mal(+)19,mild() and severe abnormal(),20 and 5 cases respectively, In most cases,no correlation was observed among age,sex,duration of illness,lab findings and scintigraphicappearence,but significant relationships were revealed between scintigraphy and γ-globin;Longer history of disease was demonstrated in patients in()group.Good theraputic responeswere observed in most cases,with 2 cured cases being in(-)group,while 2 noneffective casesbeing().On the whole,the true-positive rate of salivary scintigraphy in diagnosing xerostomiais 90%,and specificity is 91.6%.

     

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