中国医学创新Issue(4)：1-4,5,5.DOI:10.3969/j.issn.1674-4985.2016.04.001
MRI、CT对良、恶性脊柱压缩骨折病因的鉴别诊断价值
Clinical Value of MRI and CT in Diagnosing Benign and Malignant Vertebral Compression Fracture
刘延华 1李婧2
作者信息
- 1. 山东省单县人民医院 山东 单县 274300
- 2. 山东省单县中心医院
- 折叠
摘要
Abstract
Objective:To investigate the clinical value of MRI and CT in diagnosing benign and malignant vertebral compression fracture.Method:108 centrums in 80 patients with benign and malignant vertebral compression fracture in our hospital from February 2012 to February 2014 were selected as the research objects.48 centrums in 34 cases were malignant vertebral compression fracture,36 centrums in 26 cases were osteoporotic compression fracture and 24 centrums in 20 cases were traumatic compression fracture.Their clinical data of CT and MRI were retrospectively analyzed.Result:In the malignant vertebral compression fracture group, most of the centrums were pour the wedge,spinal canal had soft tissue mass,the pedicle damage was damaged and the vertebra posterior border was distention.In the benign compression fractures group,most of the centrums were wedge-shape and most of the vertebra posterior border was angulation.The value of ADC in the malignant vertebral compression fracture group was lower than that in the benign compression fracture group,the difference was statistically significant(P<0.01).The accuracy rate of CT in the diagnosis of benign spinal compression fractures was higher than that in the diagnosis of malignant bone fracture,the difference was statistically significant (P<0.05).Using the examination of MRI combined with CT,the diagnose accordance rate of osteoporosis-induced compression fracture was 92.31%,the diagnose accordance rate of traumatic compression fractures was 100% and the diagnose accordance rate of malignant vertebral compression fracture was 97.06%.Conclusion:The diagnosis accuracy rate of CT for patients with benign spinal compression fracture is high.In the diagnosis of malignant spinal compression fracture,MRI has high value.MRI combined with CT has an important significance in the differential diagnosis of the etiology of spinal compression fracture.关键词
磁共振成像/螺旋CT/脊柱/压缩骨折Key words
MRI/Spiral CT/Spine/Compression fracture引用本文复制引用
刘延华,李婧..MRI、CT对良、恶性脊柱压缩骨折病因的鉴别诊断价值[J].中国医学创新,2016,(4):1-4,5,5.
