李婷婷

【摘要】 目的：探討CT平扫及容积重建后处理技术对腰椎压缩性骨折的诊断价值。方法：选取2018年1月-2020年3月本院收治的246例疑似腰椎压缩性骨折患者。患者术前均进行CT平扫及容积重建后处理技术检查，将手术结果作为金标准，分析CT平扫及容积重建后处理技术对腰椎压缩性骨折的诊断价值;记录手术结果中椎体骨折范围分布、椎体压缩程度等情况;观察容积重建后处理技术检出的骨折类型。结果：200例腰椎压缩性骨折患者中出现212个腰椎椎体变形，其中12例多发椎体骨折，188例为单发椎体骨折;椎体压缩程度以1/3～1/2的占比最高，为46.70%（99/212）;骨折范围主要分布于第3～5腰椎。容积重建后处理技术诊断腰椎压缩性骨折准确度、灵敏度、特异度均高于CT平扫，差异均有统计学意义（P<0.05）。容积重建后处理技术检出的196例腰椎压缩性骨折中，以单纯性楔形压缩性骨折最为常见，占比41.33%，稳定性爆裂压缩性骨折次之，占比24.49%。结论：与常规CT平扫相比，腰椎压缩性骨折患者诊断中采用容积重建后处理技术检出率更高，该技术能够全面、立体、多角度的观察骨折部位，对骨折情况做出正确评估。

【关键词】 腰椎压缩性骨折 CT平扫 容积重建后处理技术

Analysis of the Diagnostic Value of CT Plain Scan and Volume Reconstruction Post-processing Technology in Lumbar Vertebral Compression Fracture/LI Tingting. //Medical Innovation of China， 2021， 18（32）： 115-119

[Abstract] Objective： To investigate the diagnostic value of CT plain scan and volume reconstruction post-processing technology in lumbar vertebral compression fracture. Method： A total of 246 patients with suspected lumbar vertebral compression fracture admitted to our hospital from January 2018 to March 2020 were collected. All patients were examined with CT plain scan and volume reconstruction post-processing technology before operation. Taking the operation results as the gold standard， the diagnostic value of CT plain scan and volume reconstruction post-processing technology for lumbar vertebral compression fracture was analyzed; the range distribution and degree of vertebral compression in the operation results were recorded; the fracture type detected by volume reconstruction post-processing technology was observed. Result： A total of 212 lumbar vertebral body deformations were found in 200 patients with lumbar vertebral compression fracture， including 12 multiple vertebral body fracture and 188 single vertebral body fracture; 1/3-1/2 of the vertebral compression degree accounted for the highest proportion， 46.70% （99/212）; the fracture range was mainly distributed in the third to fifth lumbar vertebrae. The accuracy， sensitivity and specificity of volume reconstruction volume reconstruction post-processing technology in the diagnosis of lumbar vertebral compression fracture were higher than those of CT plain scan， and the differences were statistically significant （P<0.05）. Among 196 cases of lumbar vertebral compression fracture detected by volume reconstruction post-processing technology， simple wedge compression fracture was the most common， accounting for 41.33%， followed by stable burst compression fracture， accounting for 24.49%. Conclusion： The detection rate of volume reconstruction volume reconstruction post-processing technology in the diagnosis of lumbar vertebral compression fracture is higher than that of conventional CT plain scan， this technology can comprehensively， stereoscopically and multi angle observe the fracture site， and make a correct evaluation of the fracture situation.

[Key words] Lumbar vertebral compression fracture CT plain scan Volume reconstruction post-processing technology

First-author’s address： Yingkou Central Hospital， Yingkou 115000， China

doi：10.3969/j.issn.1674-4985.2021.32.029

腰椎压缩性骨折主要发生于中老年群体，对患者生活造成较大影响。交通事故、高处坠落等高能量暴力均会造成腰椎压缩性骨折，患者受伤后常出现椎体不稳定、畸形、下腰痛、神经损伤等表现，若治疗不及时，甚至导致患者残疾，影响社交与工作[1-2]。……