摘要
目的探讨隐性骨质疏松性椎体骨折的临床特点,以减少漏诊。方法选取2008年12月至2009年12月在我科行椎体成形和椎体后凸成形术的骨质疏松性压缩骨折患者82例,经X线和核磁共振阅片分为有和无隐性骨质疏松性椎体骨折患者共两组,将两组患者的年龄、性别、体重指数、发病椎体数、髋部骨密度值用SPSS11.5进行统计学分析。结果共82例患者入选,其中有隐性骨折的患者14例,无隐性骨折的患者68例,隐性骨折的患者占此组病例的17%。14例隐性骨折患者中仅1例为2个椎体隐性骨折,余均为1个椎体隐性骨折。两组病例的椎体骨折数比较两组间有显著性差异,年龄、性别、髋部骨密度、体重指数两组间均无显著性差异。结论隐性骨质疏松性椎体骨折在临床中确实存在,并有一定的发病率,无明确的临床规律可循,应注意避免漏诊。
Objective To evaluate the disciplinarian of occult osteoporotic vertebral fractures,to decrease missed diagnosis.Methods 82 patients of osteoporotic vertebral fractures treated by PKP and PVP in our hospital from 2008,12 to 2009,12 were divided into two groups by analyzing X-ray and MRI.Age,gender,number of vertebral fracture,BMI,BMP of hip betwent two groups were compared.Results In 82 patients,14（17%） were identified occult osteoporotic vertebral fractures,one of them have two vertebral occult fractures,others only have one vertebral occult fracture.Only the number of vertebral fracture between two groups have significant differences.Conclusion Occult osteoporotic vertebral fractures do indeed exist,no exact disciplinarian can be found,it must be careful to miss diagnosis.
出处
《实用骨科杂志》
2011年第12期1070-1072,共3页
Journal of Practical Orthopaedics
关键词
隐性骨折
骨质疏松
椎体骨折
核磁共振成像
occult fracture
osteoprosis
vertebral fracture
magnetic resonance imaging
作者简介
李锦军（1968-），男，副主任医师，首都医科大学附属北京友谊医院骨科，100050。
通讯作者：唐海
