SPECT-CT与MRI对评估OVCFs患者疼痛责任椎体的临床价值分析  

Clinical Value of SPECT-CT and MRI in Evaluating the Responsible Vertebral Body for Pain of Patients with OVCFs

作　　者：芦斌 李国臣 LU Bin;LI Guo-chen(Department of Orthopedics,Tangdu Hospital Affiliated to Air Force Military Medical University,Xi'an 710038,Shaanxi Province,China)

机构地区：[1]空军军医大学附属唐都医院骨科,陕西西安710038

出　　处：《中国CT和MRI杂志》2022年第1期173-175,共3页Chinese Journal of CT and MRI

基　　金：陕西省重点研发计划项目(2018SF-093)。

摘　　要：目的分析SPECT-CT与MRI对评估OVCFs患者疼痛责任椎体的临床价值。方法选取本院2017年4月至2019年7月收治的50例OVCFs患者的临床资料,将MRI检查和SPECT-CT检查的诊断结果进行讨论和分析,比较两种方法测出椎体个数情况及急性期和非急性期椎体个数;根据VAS评分评估患者手术前及术后1周、2个月的疼痛情况。结果术后患者的疼痛缓解程度显著优于术前(P<0.05)。OVCFs共85个责任椎体节段,经MRI检查共检出72个(84.71%),SPECT-CT共检出76个(89.41%);OVCFs非急性期共49个责任椎体节段,MRI共检出44个(89.80%),SPECT-CT共检出47个(95.92%);OVCFs急性期共36个责任椎体节段,MRI共检出30个(83.00%),SPECT-CT共检出30个(83.00%)。两种检查对责任椎体节段检出情况无明显差异(P>0.05)。结论SPECT-CT检查和MRI检查均可有效诊断OVCFs,在定位、定性诊断上具有较好的一致性。对于无法进行MRI检查的OVCFs患者,可进一步行SPECT-CT检查。Objective To analyze the clinical value of sPECT-CT and MRI in evaluating the responsible vertebral body for pain of patients with OVCFs.Methods The clinical data of 50 patients with OVCFs admitted to our hospital from April 2017 to July 2019 were selected.The diagnosis results of MRI and sPECT-CT were discussed and analyzed.The number of vertebral bodies detected by the two examinations was compared.The number of vertebral bodies in the acute and non-acute phases was compared.Pain was assessed before surgery and in 1 week and 2 months after surgery according to the VAs score.Results The pain relief before surgery was significantly better than that after surgery(P<0.05).OVCFs had in total 85 responsible vertebral segments.72 segments(84.71%)were detected by MRI in total,and 76 segments(89.41%)were detected by sPECT-CT.There were 49 responsible vertebral segments in the non-acute phase of OVCFs.In total 44(89.80%)segments were detected by MRI,and 47(95.92%)segments were detected by sPECT-CT.There were 36 responsible vertebral segments in the non-acute phase of OVCFs.In total 30(83.00%)segments were detected by MRI,and 30 segments(83.00%)were detected by sPECT-CT.There was no significant difference between the two examinations in the detection of responsible vertebral segments(P>0.05).Conclusion Both sPECT-CT and MRI can effectively diagnose OVCFs,and have good consistency in localization and qualitative diagnosis.For patients with OVCFs who are unable to undergo MRI,a further sPECT-CT can be performed.

关 键 词：SPECT-CT MRI OVCFs 疼痛责任椎体 

分 类 号：R683[医药卫生—骨科学] R445.2[医药卫生—外科学]