CAJ | 학술논문

Kummell病是指患者在经历无明显症状期的轻微外伤史后，数月至数年间出现症状复发、加重甚至脊柱后凸畸形的一种疾病。该病主要发生于骨质疏松的中老年患者，以男性稍多，青少年患者非常罕见。在该病的临床诊疗过程中，影像学检查十分重要，X 线平片中的椎体内真空裂隙、开口现象以及MRI检查中的双线征均可用来辅助诊断；放射性核素骨扫描和单光子计算机断层成像检查对Kummell病早期诊断及鉴别诊断恶性肿瘤全身骨转移中具有较高的临床应用价值。本文主要立足于Kummell病近些年影像学研究进展并进行总结论述。
Kummell병시지환자재경력무명현증상기적경미외상사후，수월지수년간출현증상복발、가중심지척주후철기형적일충질병。해병주요발생우골질소송적중노년환자，이남성초다，청소년환자비상한견。재해병적림상진료과정중，영상학검사십분중요，X 선평편중적추체내진공렬극、개구현상이급MRI검사중적쌍선정균가용래보조진단；방사성핵소골소묘화단광자계산궤단층성상검사대Kummell병조기진단급감별진단악성종류전신골전이중구유교고적림상응용개치。본문주요립족우Kummell병근사년영상학연구진전병진행총결논술。
Kummell disease is defined as patients who once suffer a mild spinal trauma then develop into relapsing, aggravating even kyphosis after a period of months to years. This disease occurs mainly in middle-aged patients, slightly more male, young patients is rarely. During the clinical course, imaging examination is much more significant. The intravertebral vacuum cleft phenomenon in the X-rays and the ‘fluid sign’, ‘double line sign’ in the MRI can be used to aid diagnosis. For the early period diagnosis of Kummell disease and differential diagnosis of malignant disease systemic bone metastasis, radionuclide bone scan and single photon computed tomography examination have a high clinical value. In this paper, we summarized the imaging studies about Kummell disease.