MRI诊断胸腰椎骨折病人后部韧带复合体损伤的价值分析

MRI Diagnosis of Posterior Ligament Complex Injury in Patients withThoracolumbar Fractures

分析胸腰椎骨折患者后部韧带复合体损伤的特点,评价磁共振成像(Magnetic Resonance Imaging,MRI)的诊断价值,为骨科诊断工作提供参考。方法:选择我院骨科2020年3月-10月收治的胸腰椎骨折情况患者90例,予以全部患者手术治疗,手术治疗之前进行MRI检查,以手术结果作为金标准,分析MRI进行后部韧带复合体损伤诊断的灵敏度、特异度情况。结果:与后部韧带复合体损伤手术结果进行对比,MRI诊断的灵敏度为95.23%、特异度为100.00%,经统计学计算P>0.05。结论:胸腰椎骨折患者后部韧带复合体损伤风险高,采取MRI影像学诊断的敏感度、特异度高,有助于疾病早期治疗,是有效的诊断方法。

To analyze the characteristics of posterior ligament complex injury in patients with thoraco-lumbar fracture,evaluate the diagnostic value of magnetic resonance imaging(MRI),and provide reference for or-thopaedic diagnosis.Methods:A total of 90 patients with thoracolumbar fractures treated in the Department of ortho-paedics of our hospital from March to October 2020 were selected.All patients were given surgical treatment.MRI was performed before surgical treatment.The informed consent of the patients and their families was obtained,which was reviewed and approved by the hospital ethics committee.The sensitivity and specificity of MRI in the diagnosis of posterior ligament complex injury were analyzed.Results:compared with the surgical results of posterior ligament complex injury,the sensitivity and specificity of MRI were 95.23%and 100.00%,respectively(p>0.05).Con-clusion:Patients with thoracolumbar fractures have a high risk of posterior ligament complex injury.MRI has high sensitivity and specificity,which is helpful for the early treatment of the disease and is an effective diagnostic meth-od.