放射性核素骨显像对骨质疏松性椎体压缩骨折诊断定位的应用  

Application of radionuclide bone imaging in diagnosis and localization of osteoporotic vertebral compressive fracture

作　　者：林玉江[1] 杨利民[1] 杨健[1] 

机构地区：[1]青岛市市立医院东院脊柱外科,266071

出　　处：《实用医学杂志》2017年第3期408-411,共4页The Journal of Practical Medicine

摘　　要：目的:比较分析放射性核素骨显像对骨质疏松性椎体压缩骨折诊断定位的准确性和实用性。方法:选取40例骨质疏松椎体压缩性骨折患者,将核素骨显像技术定位的新鲜压缩骨折的责任椎体数目设为骨扫描组,将首先经查体定位、X线透视筛查后,将发现的病变椎体再进行CT以及磁共振检查,最终确定新鲜压缩骨折的责任椎体数目设为标准组,将两者数据进行Kappa检验。结果:骨扫描组确定的新鲜骨折的责任椎体数目为56节,标准组中,X线定位58节椎体,CT定位54节椎体,MRI定位52节椎体,经过综合评估后,确认责任椎体为52节,两组一致性较好,差异有统计学意义(Kappa=0.76)。结论:放射性核素骨显像诊断结果与综合查体定位、X线、CT以及磁共振共同诊断的结果具有很高的一致性。对于不能行MRI检查的患者,核素骨显像是诊断骨质疏松性椎体压缩骨折责任椎体的有效辅助检查方式。Objective To investigate the value of radionuclide bone imaging in the diagnosis and localization of osteoporotic vertebral compressive fracture. Methods Percutaneous vertebroplasty was applied to 40 patients suffering from osteoporotic vertebral compressive fracture. Responsible vertebral bodys located according to the radionuclide bone imaging was involved as bone scan group, and responsible vertebral bodys located according to the physical examination, X-ray, CT and MRI as standard group.Then the Kappa test was carried out. Result In bone scan group, 56 vertebrae were located by radionuclide bone imaging, and in standard group, 58 vertebrae were located by X-ray, 54 vertebrae by CT and 52 vertebrae by MRI. The Kappa value was 0.76, indicating essentially excellent agreement and statistical significance. Conclusion Radionuclide bone imaging was another good choice for the diagnosis of osteoporotic vertebral compressive fracture. Especially for cases with contraindication of MRI, it offers a reliable choice.

关 键 词：放射性核素骨显像 骨质疏松性椎体压缩骨折 磁共振 经皮穿刺椎体成形术 

分 类 号：R683[医药卫生—骨科学] R580[医药卫生—外科学]