定量与半定量方法评估DXA影像发现椎体骨折的比较

发布时间：2018-02-26 12:15

本文关键词： 椎体骨折 Genant半定量方法定量测量 OXA　出处：《中国骨质疏松杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的比较形态学定量评估方法和Genant半定量方法对DXA影像进行椎体骨折评估的一致性。方法对217例≥50岁绝经后女性作骨密度检测的同时进行胸腰椎T4~L5正侧位扫描,采用形态学定量评估方法和Genant半定量方法进行椎体骨折评估,比较二种方法确定椎体骨折的一致性和二种方法确定椎体骨折组与无椎体骨折组的临床特征。结果形态学定量评估方法确定59例椎体骨折,椎体骨折率为27.19%;Genant半定量方法确定60例椎体骨折,椎体骨折率为27.65%。kappa一致性分析,κ=0.80。二种方法确定椎体骨折组与无椎体骨折组的临床特征无统计学差异。结论 Genant半定量方法和形态学定量评估方法均是评估椎体骨折的有效方法。
[Abstract]:Objective to compare the consistency of morphologic quantitative evaluation and Genant semi-quantitative method in the evaluation of vertebral fracture in DXA. Methods the bone mineral density of 217 postmenopausal women over 50 years of age was measured and the thoracolumbar T4T L5 positive and lateral scans were performed simultaneously. Morphological quantitative evaluation method and Genant semi-quantitative method were used to evaluate vertebral fracture. Two methods were compared to determine the consistency of vertebral fracture and the clinical characteristics of vertebral fracture group and non-vertebral fracture group. Results 59 cases of vertebral fracture were determined by morphological quantitative evaluation. The fracture rate of vertebral body was 27.19% and Genant semi-quantitative method was used to determine 60 cases of vertebral fracture. The rate of vertebral fracture was 27.65.kappa consistency analysis and kappa 0.80.Conclusion Genant semi-quantitative method and morphologic quantitative evaluation method are effective methods for the evaluation of vertebral fracture.
【作者单位】：福建医科大学附属第二医院骨科;福建医科大学附属第二医院放射科;
【基金】：泉州市社会发展计划重点项目(2013Z106)
【分类号】：R580;R683

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