中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
2期
156-159
,共4页
徐建桥%周维锋%赵苛棋%童松林%陈维善
徐建橋%週維鋒%趙苛棋%童鬆林%陳維善
서건교%주유봉%조가기%동송림%진유선
脊柱损伤%胸椎%腰椎%后柱韧带复合体%核磁共振影像
脊柱損傷%胸椎%腰椎%後柱韌帶複閤體%覈磁共振影像
척주손상%흉추%요추%후주인대복합체%핵자공진영상
Spinal injuries%Thoracic vertebrae%Lumbar vertebrae%Posterior ligamentous complex%Magnetic resonance imaging
目的 研究MRI评估胸腰椎骨折后柱韧带复合体(posterior ligamentous complex,PLC)损伤的一致性. 方法 回顾性研究170例胸腰椎骨折患者的MRI资料,每例患者在伤后l周内行MRI检查,3位医师分别对MRI资料进行对比分析,探讨MRI评估PLC损伤的一致性及PLC损伤严重程度. 结果 观察者1和2的Kappa系数(K值)为0.85,观察者1和3的K值为0.77,观察者2和3的K值为0.79,观察者之间的可靠性非常吻合,总体K值为0.80.PLC损伤程度与脊髓神经损伤呈正相关(P＜0.05). 结论 胸腰椎骨折中PLC损伤的准确评估有利于明确脊柱的机械稳定性,MRI评估PLC损伤的一致性程度高,值得临床推广.
目的 研究MRI評估胸腰椎骨摺後柱韌帶複閤體(posterior ligamentous complex,PLC)損傷的一緻性. 方法 迴顧性研究170例胸腰椎骨摺患者的MRI資料,每例患者在傷後l週內行MRI檢查,3位醫師分彆對MRI資料進行對比分析,探討MRI評估PLC損傷的一緻性及PLC損傷嚴重程度. 結果 觀察者1和2的Kappa繫數(K值)為0.85,觀察者1和3的K值為0.77,觀察者2和3的K值為0.79,觀察者之間的可靠性非常吻閤,總體K值為0.80.PLC損傷程度與脊髓神經損傷呈正相關(P＜0.05). 結論 胸腰椎骨摺中PLC損傷的準確評估有利于明確脊柱的機械穩定性,MRI評估PLC損傷的一緻性程度高,值得臨床推廣.
목적 연구MRI평고흉요추골절후주인대복합체(posterior ligamentous complex,PLC)손상적일치성. 방법 회고성연구170례흉요추골절환자적MRI자료,매례환자재상후l주내행MRI검사,3위의사분별대MRI자료진행대비분석,탐토MRI평고PLC손상적일치성급PLC손상엄중정도. 결과 관찰자1화2적Kappa계수(K치)위0.85,관찰자1화3적K치위0.77,관찰자2화3적K치위0.79,관찰자지간적가고성비상문합,총체K치위0.80.PLC손상정도여척수신경손상정정상관(P＜0.05). 결론 흉요추골절중PLC손상적준학평고유리우명학척주적궤계은정성,MRI평고PLC손상적일치성정도고,치득림상추엄.
Objective To investigate the consistency of M RI detecting posterior ligamentous complex (PLC) injury associated with thoracolumbar factures.Methods MRI data of 170 cases of thoracolumbar fractures were reviewed retrospectively.Each case underwent MRI around one week postinjury.MRI data were analyzed and compared by three physicians respectively to discuss the consistency in MRI detection of PLC injury and the severity of PLC injury.Results Kappa coefficient was 0.846 between observer 1 and 2,0.768 between observer 1 and 3,and 0.793 between observer 2 and 3.Interobserver reliability was high and overall Kappa coefficient was 0.803.Severity of PLC injury was interrelated with spinal cord nerve injury (P ＜ 0.05).Conclusions Accurate detection of PLC injury in thoracolumbar fractures is beneficial to clear the mechanical stability of the spine.MRI detection of PLC injury is of high consistency and hence deserves wide use.
