胸腰椎严重爆裂骨折治疗前后的X线、CT影像评价分析  

Evaluation and Analysis of X-ray and CT Imaging Before and After the Treatment of Severe Burst Fractures of Thoracolumbar Spine

作　　者：王海泉[1] 

机构地区：[1]湖北省荆门市第一人民医院骨外二科,湖北荆门448000

出　　处：《中国CT和MRI杂志》2015年第11期115-117,120,共4页Chinese Journal of CT and MRI

摘　　要：目的比较X线、CT影像学检查在胸腰椎严重爆裂骨折治疗前、后的应用效果。方法选择我院2012年6月-2014年12月收治的63例胸腰椎严重爆裂骨折患者进行研究,分别行X线及CT扫描,比较Denis分型诊断准确性、椎体前缘受压分度诊断准确性。结果 CT检查的Denis分型与椎体前缘受压分度确诊准确性分别达95.2%、92.0%,高于X线84.1%及79.4%,差异有统计学意义(P<0.05)。结论 X线可明确损伤椎体的骨折平面、损伤范围及程度,CT检查优势更大,可清楚显示骨折细节、脊柱后柱骨折移位程度、椎管狭窄情况,利于诊断骨折类型并为手术方案的制定提供指导,客观条件允许下可联合X线及CT检查。Objective To compare the application effect of X-ray and CT examination before and after the treatment of severe burst fractures of thoracolumbar spine. MethodsA total of 63 patients with severe burst fractures of thoracolumbar spine admitted into the hospital during June 2012 to December 2014 were studied. X-ray and CT scan were performed, respectively. The accuracy of Denis classificatory diagnosis and diagnosis of vertebral anterior edge compression graduation was compared. Results The diagnostic accuracy of CT in Denis classification and vertebral anterior edge compression graduation were 95.2% and 92.0%, respectively. Compared with 84.1% and 79.4% of X-ray and the difference was statistically significant（P0.05）. Conclusion Conclusion X-ray can definite the injured vertebral fracture plane, damage extent and degree clear. CT examination is of greater advantage. It can clearly show the fracture details, spinal posterior column displacement fractures and spinal canal stenosis, which is beneficial to define the type of fracture and provide guidance for the formulation of surgical treatment. Objective conditions allowed, X-ray can be combined with CT examination.

关 键 词：胸腰椎 爆裂骨折 X线 CT 诊断 

分 类 号：R683.2[医药卫生—骨科学] R814[医药卫生—外科学]