基于CT影像学参数探究创伤性胸腰椎骨折患者椎间盘损伤的危险因素  

Risk factors of intervertebral disc injury in patients with traumatic thoracolumbar fractures based on CT imaging parameters

作　　者：游芳松[1] 邹琦 You Fangsong;Zou Qi(Department of Radiology,Fengcheng Traditional Chinese Medicine Hospital,Fengcheng 331199,China;Depart-ment of Ultrasound,Fengcheng Traditional Chinese Medicine Hospital,Fengcheng 331199,China)

机构地区：[1]丰城市中医院放射科,丰城331199 [2]丰城市中医院超声科,丰城331199

出　　处：《实用医技杂志》2024年第4期250-253,共4页Journal of Practical Medical Techniques

摘　　要：目的基于CT影像学参数探究创伤性胸腰椎骨折患者椎间盘损伤的危险因素。方法回顾性分析我院2021年1月至2023年12月收治的60例创伤性胸腰椎骨折患者的临床资料,根据患者椎间盘损伤情况将其分为研究组(伴有椎间盘损伤患者30例)和对照组(未伴有椎间盘损伤患者30例),比较2组一般临床资料及CT影像学参数(椎间隙高度、椎管软组织侵袭率、脊神经根管软组织侵袭率、后凸Cobb角、后方韧带复合体损伤、患椎终板角、椎体平移距离、棘突间距、椎弓根间距),使用非条件logistic多元逐步回归分析影响创伤性胸腰椎骨折患者椎间盘损伤的危险因素。结果2组脊神经根管软组织侵袭率、后方韧带复合体损伤率比较差异无统计学意义(P>0.05),研究组椎间隙高度、椎管软组织侵袭率均低于对照组(P<0.05),后凸Cobb角、后方韧带复合体损伤、患椎终板角、椎体平移距离、棘突间距、椎弓根间距均高于对照组(P<0.05)。经非条件logistic多元逐步回归分析,患椎终板角、椎体平移距离不是影响创伤性胸腰椎骨折患者椎间盘损伤的独立危险因素(P>0.05);椎间隙高度、椎管软组织侵袭率、后凸Cobb角、棘突间距、椎弓根间距均是影响创伤性胸腰椎骨折患者椎间盘损伤的独立危险因素(P<0.05)。结论椎间隙高度丢失、椎管软组织侵袭、后凸畸形、棘突间距、椎弓根间距增加等均是创伤性胸腰椎骨折患者椎间盘损伤发生的危险因素,临床采用CT影像学参数检查,可为胸腰椎骨折患者诊断及治疗提供有利参考。Objective To explore the risk factors of intervertebral disc injury in patients with traumatic thoracolumbar fractures based on CT imaging parameters.Methods The clinical data of 60 patients with traumatic thoracolumbar fractures were retrospectively analyzed in our hospital from January 2021 to December 2023.According to the intervertebral disc injury,the patients were divided into study group(patients with intervertebral disc injury,n=30)and control group(patients without intervertebral disc injury,n=30).The general clinical data and CT imaging parameters(intervertebral space height,spinal canal soft tissue invasion rate,spinal nerve root canal soft tissue invasion rate,kyphosis Cobb angle,posterior ligament complex injury,affected vertebral endplate angle,vertebral translation distance,interspinous process distance,interpediculate distance)were compared between groups.The risk factors of intervertebral disc injury in patients with traumatic thoracolumbar fractures were analyzed by unconditional logistic multivariate stepwise regression analysis.Results There were no statistical differences in the soft tissue invasion rate of spinal nerve root canal and injury rate of posterior ligament complex between the two groups(P>0.05).The height of intervertebral space and soft tissue invasion rate of spinal canal in study group were lower than those in control group(P<0.05),while the kyphosis Cobb angle,posterior ligament complex injury,affected vertebral endplate angle,vertebral translation distance,interspinous process distance and interpediculate distance were higher than those in control group(P<0.05).Unconditional logistic multivariate stepwise regression analysis showed that affected vertebral endplate angle and vertebral translation distance were not independent risk factors for intervertebral disc injury in patients with traumatic thoracolumbar fractures(P>0.05).Intervertebral space height,spinal soft tissue invasion rate,kyphosis Cobb angle,interspinous process distance and interpediculate distance were indepen

关 键 词：体层摄影术 X线计算机 骨折 胸椎 腰椎 椎间盘 危险因素 

分 类 号：R683[医药卫生—骨科学]