摘要
目的分析老年症状性椎体压缩骨折患者邻近椎间盘损伤的MRI表现和诊断意义。方法对50例老年症状性椎体压缩骨折患者（56个骨折椎体）邻近椎间盘的MRI表现进行回顾性分析。结果56个骨折椎体中42个椎体有邻近椎间盘损伤（75％）。42个有邻近间盘损伤的骨折椎体中22个椎间盘损伤位于骨折椎体上方（52％），15个骨折椎体同时有上下椎间盘损伤（36％）。5个椎间盘损伤位于骨折椎体下方（12％）。在损伤的57个椎间盘中，1级（椎间盘水肿）占49％（28／57），2级（椎间盘出血／破裂）占40％（23／57），3级（椎间盘疝）占11％（6／57）。结论老年症状性椎体压缩骨折患者常伴有椎间盘的损伤，MRI对指导临床诊断和治疗有很大帮助。
Objective To analyze the performance and diagnostic significance of the MRI in intervertebral disc injury in elderly patients with symptomatic vertebral compression fractures. Methods 50 elderly patients with symptomatic vertebral compression frac tures （56 fracture vertebral bodies）were examined by MRI. Results There were 42 vertebral bodies with intervertebral disc injury in 56 fracture vertebral bodies （75%）. There were 22 intervertebral disc injury located above the fracture vertebral bodies in 42 vertebral bodies with intervertebral disc iniury （52% ）, and 15 fracture vertebral bodies with upper and lower intervertebral disc injury （36 %）, and 5 intervertebral injuries located below the fracture vertebral bodies （12%）. Of the 57 injuried discs studied, 49% （28/57） were de retrained to be grade 1 （disc edema）, 40% （23/57） grade 2 （bleeding/rupture）, and 11% （6/57） grade 3 （displacement）. Conclusion Intervertebral disc injury is commonly seen in elderly patients with symptomatic vertebral compression fractures. MRI is helpful in guiding the clinical diagnosis and treatment.
出处
《检验医学》
CAS
2016年第B09期22-23,共2页
Laboratory Medicine
关键词
磁共振成像
椎间盘损伤
骨折
压缩性
MRI
Intervertebral disc injury
fractures, compression
