中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
16期
2-3
,共2页
MRI%CT%脊柱压缩骨折%良恶性
MRI%CT%脊柱壓縮骨摺%良噁性
MRI%CT%척주압축골절%량악성
MRI%CT%Vertebral compression fractures%Benign and malignant
目的：探讨良恶性脊柱压缩骨折的诊断中MRI和CT的影像学表现及诊断价值。方法回顾性分析108例脊柱压缩性骨折患者的临床资料，结合MRI和CT影像学表现，分析其诊断准确率。结果良性骨折中69例患者中82个椎节中椎体形态主要以楔形为主，椎体后缘多见成角畸形。而39例恶性骨折中，47个椎节中椎体形态以倒楔形最为多见；椎体后缘成角畸形少见、多见为后缘膨隆；椎弓根正常形态改变；椎管可见软组织肿块影。良性骨折69例中，外伤性压缩性骨折占67例，CT的影像学表现主要是椎体及小梁密度增高、附件骨出现骨折线、骨折碎片侵入椎管、椎体前后缘出现双边征或骨皮质断裂、椎体内出现明显的骨折线。恶性压缩性骨折39例CT影像表现主要包括椎体软组织病变侵入椎管、椎体边缘发现软组织肿块影、椎体的高度下移、骨质破坏区可见软组织密度影。CT诊断良性脊柱压缩骨折准确率高于恶性骨折准确率（P＜0.05）。结论 MRI和CT对于良恶性脊柱压缩性骨折病因的诊断都有很高的鉴别诊断价值。
目的：探討良噁性脊柱壓縮骨摺的診斷中MRI和CT的影像學錶現及診斷價值。方法迴顧性分析108例脊柱壓縮性骨摺患者的臨床資料，結閤MRI和CT影像學錶現，分析其診斷準確率。結果良性骨摺中69例患者中82箇椎節中椎體形態主要以楔形為主，椎體後緣多見成角畸形。而39例噁性骨摺中，47箇椎節中椎體形態以倒楔形最為多見；椎體後緣成角畸形少見、多見為後緣膨隆；椎弓根正常形態改變；椎管可見軟組織腫塊影。良性骨摺69例中，外傷性壓縮性骨摺佔67例，CT的影像學錶現主要是椎體及小樑密度增高、附件骨齣現骨摺線、骨摺碎片侵入椎管、椎體前後緣齣現雙邊徵或骨皮質斷裂、椎體內齣現明顯的骨摺線。噁性壓縮性骨摺39例CT影像錶現主要包括椎體軟組織病變侵入椎管、椎體邊緣髮現軟組織腫塊影、椎體的高度下移、骨質破壞區可見軟組織密度影。CT診斷良性脊柱壓縮骨摺準確率高于噁性骨摺準確率（P＜0.05）。結論 MRI和CT對于良噁性脊柱壓縮性骨摺病因的診斷都有很高的鑒彆診斷價值。
목적：탐토량악성척주압축골절적진단중MRI화CT적영상학표현급진단개치。방법회고성분석108례척주압축성골절환자적림상자료，결합MRI화CT영상학표현，분석기진단준학솔。결과량성골절중69례환자중82개추절중추체형태주요이설형위주，추체후연다견성각기형。이39례악성골절중，47개추절중추체형태이도설형최위다견；추체후연성각기형소견、다견위후연팽륭；추궁근정상형태개변；추관가견연조직종괴영。량성골절69례중，외상성압축성골절점67례，CT적영상학표현주요시추체급소량밀도증고、부건골출현골절선、골절쇄편침입추관、추체전후연출현쌍변정혹골피질단렬、추체내출현명현적골절선。악성압축성골절39례CT영상표현주요포괄추체연조직병변침입추관、추체변연발현연조직종괴영、추체적고도하이、골질파배구가견연조직밀도영。CT진단량성척주압축골절준학솔고우악성골절준학솔（P＜0.05）。결론 MRI화CT대우량악성척주압축성골절병인적진단도유흔고적감별진단개치。
Objective To investigate the benign and malignant vertebral compression MRI and CT imaging and diagnostic value of the fracture. Methods A retrospective analysis of 108 cases of clinical data in patients with vertebral compression fractures, and C combined MRI imaging to analyze the diagnostic accuracy. Results 69 patients with benign fractures in 82 vertebrae in the vertebral wedge shape mainly based, common vertebral angular deformity. The 39 cases of malignant fractures, 47 vertebrae in the form of an inverted wedge-shaped vertebrae most common;vertebral angulation rare, more common for the trailing edge of the bulge;pedicle normal morphological changes;spinal visible soft tissue mass shadow. 69 cases of benign fractures, traumatic compression fractures accounted for 67 cases, CT imaging performance is mainly vertebral trabecular density and increased bone fracture occurs accessory line, invasive spinal fracture fragments, bilateral symptoms appear around the edge of the vertebral body or cortical bone fracture, fracture lines appear evident within the vertebral body. 39 cases of malignant compression fractures CT imaging features include soft tissue lesions invade the spinal vertebrae, vertebral edge found soft tissue mass, the height of the vertebral body down, bone destruction visible soft tissue density. CT diagnosis of benign vertebral compression fractures with high accuracy in a vicious fracture accuracy rate (P<0.05). Conclusion MRI and CT for malignant and benign causes of spinal compression fractures have a high diagnostic differential diagnosis.
