放射性核素骨显像对骨质疏松性椎体压缩骨折诊断定位的应用

发布时间：2018-06-08 23:26

本文选题：放射性核素骨显像 + 骨质疏松性椎体压缩骨折　；参考：《实用医学杂志》2017年03期

【摘要】：目的:比较分析放射性核素骨显像对骨质疏松性椎体压缩骨折诊断定位的准确性和实用性。方法:选取40例骨质疏松椎体压缩性骨折患者,将核素骨显像技术定位的新鲜压缩骨折的责任椎体数目设为骨扫描组,将首先经查体定位、X线透视筛查后,将发现的病变椎体再进行CT以及磁共振检查,最终确定新鲜压缩骨折的责任椎体数目设为标准组,将两者数据进行Kappa检验。结果:骨扫描组确定的新鲜骨折的责任椎体数目为56节,标准组中,X线定位58节椎体,CT定位54节椎体,MRI定位52节椎体,经过综合评估后,确认责任椎体为52节,两组一致性较好,差异有统计学意义(Kappa=0.76)。结论:放射性核素骨显像诊断结果与综合查体定位、X线、CT以及磁共振共同诊断的结果具有很高的一致性。对于不能行MRI检查的患者,核素骨显像是诊断骨质疏松性椎体压缩骨折责任椎体的有效辅助检查方式。
[Abstract]:Objective: to compare the accuracy and practicability of radionuclide bone imaging in the diagnosis of osteoporotic vertebral compression fracture. Methods: 40 patients with osteoporotic vertebral compression fracture were selected and the number of the responsible vertebrae of fresh compression fracture was selected as bone scanning group. The number of responsible vertebrae of fresh compression fracture was determined by CT and magnetic resonance imaging, and the data were tested by Kappa. Results: the number of responsible vertebrae of fresh fracture in bone scanning group was 56. In the standard group, 58 vertebrae were located by X-ray and 54 vertebrae were located by CT, 52 vertebrae were located by MRI. After comprehensive evaluation, 52 vertebrae were identified as responsible vertebrae. The consistency between the two groups was good, and the difference was statistically significant. Conclusion: the diagnostic results of radionuclide bone imaging are in good agreement with the results of CT and MRI. Radionuclide bone imaging is an effective auxiliary examination method for the diagnosis of osteoporotic vertebral compression fracture.
【作者单位】：青岛市市立医院东院脊柱外科;
【分类号】：R683;R580

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