30例强直性脊柱炎颈椎骨折患者的影像学回顾性分析

Retrospective Imaging Analysis of 30 Patients with Ankylosing Spondylitis Fracture of Cervical Spine

目的研究强直性脊柱炎颈椎骨折患者的影像学资料在其诊断、治疗中的应用价值。方法回顾性分析2012年2月至2015年8月我院30例经病理确诊的强直性脊柱炎颈椎骨折患者影像学资料,分析其影像学资料特点。结果30例颈椎骨折患者中29例发生于下颈椎,CT和MRI检查强直性脊柱炎颈椎骨折检出率均为100%,显著高于X线的83.33%,差异有统计学意义(P<0.05)。MRI、CT及X线评估骨折严重程度准确率分别为100%、93.33%及56%,三组间差异有统计学意义(P<0.05)。结论强直性脊柱炎颈椎骨折好发于下颈椎,X线、CT及MRI检查强直性脊柱炎颈椎骨折均可见特异性临床征象,具有较高的检出率,CT和MRI还能较好的反映骨折严重程度,对治疗临床和预测预后具有重要意义。

Objective To study the application value of imaging data in the diagnosis and treatment of ankylosing spondylitis with cervical fracture.Methods Imaging data of 30 patients with cervical spine fractures with ankylitis confirmed by pathology in our hospital from February 2012 to August 2015 were retrospectively analyzed,and their imaging data characteristics were analyzed.Results There were 29 cases occurred in lower cervical spine in 30 patients with fracture of cervical spine.CT and MRI examination ankylosing spondylitis fracture of cervical spine relevance ratio was 100%,which were significantly higher than X-ray(83.33%)(P<0.05).Accuracy rate of MRI,CT and X-ray for evaluation fracture severity were 100%,93.33%and 56%respectively,and the differences between the three groups were significant(P<0.05).Conclusion Most ankylosing spondylitis fracture of cervical spine occurred in lower cervical spine.Specificity clinical signs can be seen in X-ray,CT and MRI examination with a higher relevance ratio.CT and MRI can better reflect fracture severity,which is of great significance for the treatment of clinical and prognosis prediction.