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[1]程克斌,王晨,蔣雯,等.急性或亞急性骨質(zhì)疏松性椎體骨折椎體內(nèi)真空裂隙 的MRI表現(xiàn)[J].中醫(yī)正骨,2013,25(12):45-48.
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急性或亞急性骨質(zhì)疏松性椎體骨折椎體內(nèi)真空裂隙 的MRI表現(xiàn)()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年12期
頁(yè)碼:
45-48
欄目:
骨質(zhì)疏松癥
出版日期:
2013-12-30

文章信息/Info

作者:
程克斌王晨蔣雯張晶于愛(ài)紅梁偉顧翔程曉光
北京積水潭醫(yī)院,北京 100035
關(guān)鍵詞:
脊柱骨折 骨質(zhì)疏松性骨折 椎體內(nèi)真空裂隙 體層攝影術(shù)螺旋計(jì)算機(jī) 磁共振成像 椎體成形術(shù)
摘要:
目的:探討急性或亞急性骨質(zhì)疏松性椎體骨折中椎體內(nèi)真空裂隙的MRI表現(xiàn)。方法:回顧性分析44例確診的急性或亞急性骨 質(zhì)疏松性椎體骨折且存在椎體內(nèi)真空裂隙患者的多層螺旋CT和MRI資料。男16例,女28例。年齡54~90歲,中位數(shù)72.5歲。多層螺 旋CT與MRI檢查的時(shí)間間隔0~14 d,中位數(shù)4.5 d。骨折椎體按照壓縮程度分為輕度壓縮、中度壓縮和重度壓縮; 在多層螺旋CT 上,根據(jù)氣體的形態(tài)和大小將椎體內(nèi)真空裂隙分為線(xiàn)性、局限性和彌漫性; 在MRI上,椎體內(nèi)真空裂隙分為未見(jiàn)氣體和液體性、氣 體性、液體性、氣體液體混合性。分析多層螺旋CT表現(xiàn)與MRI表現(xiàn)的關(guān)聯(lián)性,以及多層螺旋CT表現(xiàn)與椎體塌陷程度的關(guān)聯(lián)性。結(jié) 果:①影像學(xué)檢查結(jié)果。本組44例急性或亞急性椎體骨折共涉及57椎,35例為單發(fā),9例為多發(fā)。44椎內(nèi)可見(jiàn)真空裂隙,其中 T11椎體3椎、T12椎體18椎、L1椎體18椎、L2椎體3椎、L3椎體1 椎、L4椎體1椎。②影像學(xué)分型結(jié)果。按照椎體壓縮程度,可見(jiàn)椎體內(nèi)真空裂隙的椎體輕度壓縮10椎、中度壓縮13椎 、重度壓縮21椎; 按照多層螺旋CT表現(xiàn)分型,線(xiàn)性17椎、局限性17椎、彌漫性10椎; 按照MRI表現(xiàn)分型,未見(jiàn)氣體和液體性5椎、 氣體性23椎、液體性11椎、氣體液體混合性5椎。急性或亞急性椎體骨折的壓縮程度與椎體內(nèi)真空裂隙的多層螺旋CT表現(xiàn)無(wú)關(guān)聯(lián) (P=0.661); 椎體內(nèi)真空裂隙的多層螺旋CT表現(xiàn)和MRI表現(xiàn)有關(guān)聯(lián)(P=0.000),椎體內(nèi)真空裂隙在MRI上主要表現(xiàn)為氣體和(或)液體 積聚。結(jié)論:在急性或亞急性骨質(zhì)疏松性椎體骨折中,椎體內(nèi)真空裂隙在MRI上主要表現(xiàn)為氣體和(或)液體積聚。

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備注/Memo

備注/Memo:
2013-04-26收稿 2013-05-24修回
基金項(xiàng)目:北京市衛(wèi)生系統(tǒng)高層次衛(wèi)生技術(shù)人才培養(yǎng)項(xiàng)目(2009-2-03)
通訊作者:張晶 E-mail:[email protected]
更新日期/Last Update: 2013-12-30