影像学检查在骨质疏松性椎体压缩骨折诊疗中的应用价值  

Imageological Examination in for Osteoporotic Vertebral Compression Fracture

作　　者：王文尚[1] 梁志聪[1] 林世磅[1] 陈世达[1] 麦远其[1] 

机构地区：[1]广东省茂名市人民医院(南方医科大学附属茂名医院),525000

出　　处：《现代医用影像学》2016年第2期239-242,共4页Modern Medical Imageology

摘　　要：目的:探讨影像学检查在骨质疏松性椎体压缩骨折诊疗中的临床应用价值。材料与方法:回顾性选取2013年1月-2016年1月本院诊治的62例骨质疏松性椎体压缩骨折患者(共75处骨折)作为本研究对象,均行X线(对照Ⅰ组)和CT检查(研究Ⅰ组),对比两组检查结果,并对比分别在X线(对照Ⅱ组,30例)和CT(研究Ⅱ组,32例)引导手术治疗的效果。结果:研究Ⅰ组骨折线、附件骨折、椎管狭窄检出率高于对照Ⅰ组(P<0.05);研究Ⅱ组穿刺次数和手术时间均少于对照Ⅱ组(P<0.05),且术后,VAS评分改善情况优于对照组(P<0.05)。结论:CT检查在骨质疏松性椎体压缩骨折诊疗中有重要应用价值。Purpose： To explore the value of imageological examination in the diagnosis and treatment of osteoporotic vertebral compression fracture. Materials and Methods： 62 patients with osteoporotic vertebral compression fractures （75 fractured bones） who had received treatment in our hospital between January 2013 and January 2016 were selected as the re- search object. Patients given X-ray were set as group Ⅰ and those given CT examination as study group I . The examination results in the two groups were compared, so were the surgical curative effects guided by X-ray （ control group Ⅱ , n = 30） and those by CT （ study group Ⅱ , n = 32）. Results ： The detection rate of fracture line, appendix fracture, spinal stenosis in study group I was shown to be higher than that in control group Ⅰ （ P 〈 0. 05 ）. The times of puncture and operation duration in study group Ⅱ were registered to be shorter than control group Ⅱ （ P 〈 0.05 ） , and after operation, the improvement on VAS score in the former group was more significant than that in the latter （ P 〈 0. 05 ）. Conclusion ： Imageological examination is of significant application value in the diagnosis and treatment of osteoporotic vertebral compression fracture.

关 键 词：CT X线 骨质疏松性椎体压缩骨折 诊疗 价值 

分 类 号：R683[医药卫生—骨科学] R816.8[医药卫生—外科学]