胸腰椎爆裂性骨折应用X线和CT的临床诊断效果对比研究

Clinical application effect of X-ray and CT in thoracolumbar burst fracture

目的:探讨X线和CT在胸腰椎爆裂性骨折中的诊断效果。方法:收治胸腰椎爆裂性骨折患者80例,采用常规X线与螺旋CT诊断。结果:螺旋CT诊断符合率显著高于X线(P<0.05)。在胸腰椎骨折分型方面,螺旋CT诊断爆裂性与安全带性骨折符合率和X线比较,差异有统计学意义(P<0.05),单纯压缩性与脱位性骨折符合率差异无统计学意义(P>0.05);在爆裂性骨折分型方面,螺旋CT检出爆裂性椎体骨折、椎板骨折、椎管内血肿百分比显著高于X线(P<0.05)。结论:CT在胸腰椎爆裂性骨折中的诊断效果显著。

Objective:To explore the diagnostic effect of X-ray and CT in thoracolumbar burst fracture.Methods:80patients withthoracolumbar burst fracture were selected.They were diagnosed with conventional X-ray and spiral CT.Results:The diagnosticaccuracy rate of spiral CT was significantly higher than that of X-ray(P<0.05).In the classification of thoracolumbar fractures,thedifference of diagnostic coincidence rate of spiral CT and X-ray in burst and seat belt fracture was statistically significant(P<0.05).There was no significant difference between the rate of compression and dislocation fracture(P>0.05).In the classification ofburst fractures,the detection rates of burst fracture of vertebral body,vertebral fracture and intraspinal hematoma by spiral CTwere significantly higher than X-ray(P<0.05).Conclusion:The diagnostic effect of CT in thoracolumbar burst fractures was significant.