CT与MRI对确定跳跃型椎体压缩骨折靶椎体的价值
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摘要
目的:探讨MRI与CT在确定跳跃型椎体压缩骨折疼痛靶椎体的一致性。方法:选取2016年3月—2017年2月期间23例跳跃型椎体压缩骨折患者术前CT和MRI影像资料,对比两种检查方法的骨折检出率;结合查体共同确定疼痛靶椎体,行PKP治疗。采用术前及术后疼痛视觉模拟VAS评分,ODI残障指数的改善程度评估手术效果。结果:23例患者MRI检出79个椎体骨折,CT检出68个,差异有统计学意义,P<0.05。73个椎体行PKP治疗;与术前比较,术后VAS、Oswestry残障指数评分均明显改善,差异有统计学意义(P<0.05)。结论:MRI用于跳跃型椎体压缩骨折的诊断,检出率高于CT,两者结合应用,对指导制定手术方案及穿刺路径有实用价值。
Objective To investigate the consistency of MRI and CT in determining the pain target vertebral body of the jumping vertebral compression fracture.Methods The preoperative CT and MRI images were selected for 23 patients with jump type vertebral compression fractures from March 2016 to February 2017.The fracture detection rate was compared. to determined the pain target and treated by PKP,used The VAS score and the Oswestry disability index to evaluate the operation effect.Results In 23 patients,79 vertebral fractures were detected by MRI,68 were detected by CT,PKP was treated in 73 vertebral bodies.Compared with preoperative comparison,the scores of VAS and ODI were significantly improved,the difference was statistically significant(P <0.05).Conclusion MRI used to diagnose the jumping osteoporotic vertebral fractures detection rate is higher than used of CT, The two methods are combination used, It is of practical value to guide the development of surgical procedure and puncture path.
Objective To investigate the consistency of MRI and CT in determining the pain target vertebral body of the jumping vertebral compression fracture.Methods The preoperative CT and MRI images were selected for 23 patients with jump type vertebral compression fractures from March 2016 to February 2017.The fracture detection rate was compared. to determined the pain target and treated by PKP,used The VAS score and the Oswestry disability index to evaluate the operation effect.Results In 23 patients,79 vertebral fractures were detected by MRI,68 were detected by CT,PKP was treated in 73 vertebral bodies.Compared with preoperative comparison,the scores of VAS and ODI were significantly improved,the difference was statistically significant(P <0.05).Conclusion MRI used to diagnose the jumping osteoporotic vertebral fractures detection rate is higher than used of CT, The two methods are combination used, It is of practical value to guide the development of surgical procedure and puncture path.
引文
[1]印平,马远征,马迅,陈伯华,洪毅,刘宝戈,王炳强,王海蛟,邓忠良.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志,2015(06).
[2]Woo EK,Mansoubi H,Alyas F.Incidental vertebral fractures on multidetector CT images of the chest:prevalence and recognition[J].Clin Radiol,2008,63:160-164.
[3]Williams AL,Al-Busaidi A,Sparrow PJ,et al.Under reporting of osteoporotic vertebral fractures on computed tomography[J].Eur R adiol,2009,69:179-183.
[4]杜桂迎,余卫,林强,管文敏.常规脊椎CT检查椎体骨折漏诊原因[J].中华骨质疏松和骨矿盐疾病杂志,2017,10(04):350-355.
[5]郭威,曾旭文,梁治平,熊玉超,彭丽君.椎体骨质疏松性骨折MRI研究进展[J].中国介入影像与治疗学,2018,15(02):119-122.
[2]Woo EK,Mansoubi H,Alyas F.Incidental vertebral fractures on multidetector CT images of the chest:prevalence and recognition[J].Clin Radiol,2008,63:160-164.
[3]Williams AL,Al-Busaidi A,Sparrow PJ,et al.Under reporting of osteoporotic vertebral fractures on computed tomography[J].Eur R adiol,2009,69:179-183.
[4]杜桂迎,余卫,林强,管文敏.常规脊椎CT检查椎体骨折漏诊原因[J].中华骨质疏松和骨矿盐疾病杂志,2017,10(04):350-355.
[5]郭威,曾旭文,梁治平,熊玉超,彭丽君.椎体骨质疏松性骨折MRI研究进展[J].中国介入影像与治疗学,2018,15(02):119-122.