摘要
目的:探讨腰椎骨折DR摄影与CT扫描在伤残鉴定中的应用价值.方法:选择临床确诊腰椎骨折患者90例,均行正位、侧位、双斜位DR摄影及CT扫描检查.结果:90例患者中DR摄影、CT检查阳性例数为:椎体骨折分别为57例81处,63例92处;横突骨折分别为38例91处,47例116处;棘突骨折分别为20例26处,26例29处;椎板骨折分别为3例3处,17例21处;关节突骨折分别为5例6处,19例24处;椎弓崩裂分别为31例33处,37例39处.(P<0.05).结论:腰椎骨折CT检查在伤残鉴定中的价值较DR摄影更大,尤其在诊断椎体附件骨折及细小隐匿部位骨折上价值远超DR摄影.
Objective:To investigate the application value of digital radiography,computer tomography in lumbar fracture in disabled appraisal.Methods:Select 90 cases of lumbar fracture,each of them diagnosised by clinical doctors.The 90 cases were inspected by digital radiography(anteroposterior^lateral^oblique)and computer tomography.Results:Of 90 cases of lumbar fracture,the positive rates cases of digital radiography and computer tomography were 57 cases 81 positions and 63 cases 92 positions in centrum fracture;38 cases 91 positions and 47 cases 116 positions in parapophysis fracture;20 cases 26 positions and 26 cases 29 positions in spinous fracture;3 cases 3 positions and 17 cases 21 positions in vertebral plate fracture;5 cases 6 positions and 19 cases 24 positions in articular process fracture;31 cases 33 positions and 37 cases 39 positions in spondylolysis.(P<0.05).Conclusion:Computer tomography was more valuable than digital radiography of lumbar fracture in disabled appraisal,especially in accessory of vertebral body and tiny fracture.
作者
于峰
YU Feng(Department of Radiology,The Shandong Rongjun General Hospital,Jinan,250013,P.R.China)
出处
《中国伤残医学》
2020年第14期12-14,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
腰椎骨折
数字X线摄影
CT扫描
伤残鉴定
应用价值
Lumbar fracture
Digital radiography
Computer tomography
Disabled appraisal
Applicable value
