本文選題：放射性核素骨顯像 + 骨質(zhì)疏松性椎體壓縮骨折��； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年03期

【摘要】：目的:比較分析放射性核素骨顯像對(duì)骨質(zhì)疏松性椎體壓縮骨折診斷定位的準(zhǔn)確性和實(shí)用性。方法:選取40例骨質(zhì)疏松椎體壓縮性骨折患者,將核素骨顯像技術(shù)定位的新鮮壓縮骨折的責(zé)任椎體數(shù)目設(shè)為骨掃描組,將首先經(jīng)查體定位、X線透視篩查后,將發(fā)現(xiàn)的病變椎體再進(jìn)行CT以及磁共振檢查,最終確定新鮮壓縮骨折的責(zé)任椎體數(shù)目設(shè)為標(biāo)準(zhǔn)組,將兩者數(shù)據(jù)進(jìn)行Kappa檢驗(yàn)。結(jié)果:骨掃描組確定的新鮮骨折的責(zé)任椎體數(shù)目為56節(jié),標(biāo)準(zhǔn)組中,X線定位58節(jié)椎體,CT定位54節(jié)椎體,MRI定位52節(jié)椎體,經(jīng)過綜合評(píng)估后,確認(rèn)責(zé)任椎體為52節(jié),兩組一致性較好,差異有統(tǒng)計(jì)學(xué)意義(Kappa=0.76)。結(jié)論:放射性核素骨顯像診斷結(jié)果與綜合查體定位、X線、CT以及磁共振共同診斷的結(jié)果具有很高的一致性。對(duì)于不能行MRI檢查的患者,核素骨顯像是診斷骨質(zhì)疏松性椎體壓縮骨折責(zé)任椎體的有效輔助檢查方式。
[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.
【作者單位】： 青島市市立醫(yī)院東院脊柱外科;
【分類號(hào)】：R683;R580

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本文編號(hào)：1997685