MRI影像特征评估在椎体成形术前胸腰椎骨折患者中的应用价值  

Application Value of MRI Image Feature Evaluation in Patients with Thoracic and Lumbar Fractures Before Vertebroplasty

作　　者：袁圣薰 杨蓉华 YUAN Sheng-xun;YANG Rong-hua(Radiology Department of Ji'an County People's Hospital,Ji'an 343100,Jiangxi,China)

机构地区：[1]吉安县人民医院放射科,江西吉安343100

出　　处：《医学信息》2024年第17期150-153,共4页Journal of Medical Information

基　　金：吉安市指导性科技计划项目(编号:20233-043351)。

摘　　要：目的研究MRI影像特征评估在椎体成形术前胸腰椎骨折患者中的应用价值。方法选取2023年1月-6月我院收治的60例胸腰椎骨折患者为研究对象,采用随机数字表法分为对照组和研究组,各组30例。对照组采用单独椎体成形术治疗,研究组在术前进行MRI影像特征评估。比较两组治疗总有效率、疼痛评分(VAS)、日常生活能力评分(Barthel)、伤椎高度比、Cobb角以及术后并发症发生率。结果研究组治疗总有效率(93.33%)高于对照组(80.00%)(P<0.05);两组术后3 d、1个月VAS评分均低于术前,且研究组术后3 d VAS评分低于对照组(P<0.05);两组术后Barthel评分均高于术前,且研究组Barthel评分高于对照组(P<0.05);两组术后1个月伤椎高度比均大于术前,Cobb角均小于术前(P<0.05),但研究组与对照组伤椎高度比、Cobb角比较,差异无统计学意义(P>0.05);研究组并发症发生率低于对照组(P<0.05)。结论MRI影像特征评估在椎体成形术前胸腰椎骨折患者中的应用效果良好,可提高治疗总有效率,减轻患者疼痛,改善其日常生活能力水平,且可降低并发症,值得临床应用。Objective To study the application value of MRI image feature evaluation in patients with thoracic and lumbar fractures before vertebroplasty.Methods A total of 60 patients with thoracic and lumbar fractures admitted to our hospital from January to June 2023 were selected as the research objects.They were divided into control group and study group by random number table method,with 30 patients in each group.The control group was treated with vertebroplasty alone,and the study group was evaluated by MRI imaging features before surgery.The total effective rate,pain score(VAS),daily living ability score(Barthel),vertebral height ratio,Cobb angle and incidence of postoperative complications were compared between the two groups.Results The total effective rate of treatment in the study group(93.33%)was higher than that in the control group(80.00%)(P<0.05).The VAS score of the two groups at 3 days and 1 month after operation was lower than those before operation,and the VAS score of the study group at 3 days after operation was lower than that of the control group patients.The Barthel score of the two groups after operation was higher than those before operation,and the Barthel score of the study group was higher than that of the control group(P<0.05).One month after operation,the height ratio of injured vertebrae in the two groups was higher than that before operation,and the Cobb angle was lower than that before operation(P<0.05),but there was no significant difference in the height ratio of injured vertebrae and Cobb angle between the study group and the control group(P>0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion MRI image feature evaluation has a good application effect in patients with thoracic and lumbar fractures before vertebroplasty,which can improve the total effective rate of treatment,reduce the pain of patients,improve their daily living ability,and reduce complications.It is worthy of clinical application.

关 键 词：MRI影像特征 椎体成形术 腰椎骨折 

分 类 号：R445[医药卫生—影像医学与核医学] R687.3[医药卫生—诊断学]