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^(18)F-FDG PET/CT与双侧髂棘穿刺活检在弥漫大B细胞淋巴瘤骨髓浸润中诊断价值 被引量:4

The Value of 18-F-fluorodeoxyglucose Positron Emission Tomography/CT and Bilatera Iliac Crests’ Bone Marrow Biopsy for Diagnosing Bone Marrow Involvement in Patients with Diffuse Large B-cell Lymphoma
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摘要 [目的]比较18F-FDGPET/CT显像与双侧髂棘穿刺活检在弥漫大B细胞淋巴瘤(DL-BCL)骨髓浸润的诊断价值。[方法]收集我中心2005年7月~2007年6月81例初诊DLBCL患者,所有患者均行18F-FDGPET/CT显像及双侧髂棘穿刺活检,其中9例患者PET/CT指导下行其它部位骨髓FDG高代谢灶穿刺活检。[结果]81例初诊DLBCL患者中,共20例确诊伴有骨髓浸润。18F-FDGPET/CT显像见23例骨髓代谢活跃灶,其中17例病理确诊骨髓浸润;双侧髂棘穿刺活检11例患者确诊骨髓浸润。18F-FDGPET/CT显像诊断骨髓浸润的阳性率为85%(17/20),双侧髂棘穿刺活检诊断骨髓浸润的阳性率为55%(11/20),差异有显著性(P<0.05)。[结论]18F-FDGPET/CT显像可以全面评价骨髓状况,较双侧髂棘穿刺活检能发现更多的骨髓浸润患者和更多的病灶;在骨髓代谢活跃部位穿刺活检,可提高穿刺的准确率。
出处 《肿瘤学杂志》 CAS 2008年第8期640-643,共4页 Journal of Chinese Oncology
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参考文献16

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共引文献5

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