64层螺旋CT在原发性骨质疏松症中的应用价值

Clinical application of 64 Multi-slice CT in evaluation of primary osteoporosis

目的探讨64层螺旋CT在原发性骨质疏松症中的临床研究价值。方法收集临床诊断为腰椎原发性骨质疏松症并进行64层螺旋CT检查患者840例,将其中轻、中度骨质疏松各300例分别编为A组和B组,重度骨质疏松240例偏为C组,判断骨质疏松程度引起的病理性骨折风险。结果 A组和B组引起压缩性骨折概率比较差异无统计学意义(P>0.05),A组和B组引起压缩性骨折概率与C组比较差异均有统计学意义(P<0.05),且C组引起压缩性骨折的危险度明显高于A组和B组。结论 64层螺旋CT能够判断原发性骨质疏松症患者骨质疏松程度,并能预测出引起病理性骨折的风险。

Objective To explore the clinical application of 64 multi-slice CT（MSCT） in evaluation of primary osteoporosis.Methods 840 patients were clinically diagnosed as primary osteoporosis and were examined by 64 MSCT.300 patients were evaluated the lower grade osteoporosis（A group） and 300 patients were evaluated the moderate osteoporosis（B group）,240 patients were evaluated serious osteoporosis（C group）.All cases were assessed whether there was compression fracture with them.Results There were no significant difference between A group and B group（P0.05）.There was significant difference between A group and C group and between B group and C group（P0.05）.The risk of the compression fracture caused by C group obviously exceeded the one of A group and B group.Conclusions 64 MSCT can evaluate the extent of the primarily osteoporosis and predict the adventures of the compression fracture.