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目的探究骨质疏松性Kümmell病的影像学特征及其诊断价值。方法选择2012年6月至2016年1月在我院接受治疗的20例Kümmell患者为研究对象,其中女14例,男6例;年龄68-84岁,平均74.8岁;腰背部疼痛病史0.3-4年,平均0.42年。对所有患者病椎的CT横断位、冠状位与矢状位重建,MRI矢状位STIR、T_1WI、T_2WI,X线片等影像学资料进行回顾性分析。结果正侧位病椎X线片能够见到椎体内具有横形透亮线,表现出裂隙征,CT可以看见椎体内伴有液体、气体的空壳样改变,而MRI呈现椎体出现的液体信号区域具有完整的边界。结论骨质疏松性的Kümmell病在影像学方面呈现出一定的特异性,与临床发病特点相结合,能够为早期临床诊断提供支持。
Objective To explore the imaging features and diagnostic value of osteoporosis Kümmell’s disease. Methods Twenty patients with Kümmell who were treated in our hospital from June 2012 to January 2016 were selected as study subjects, including 14 females and 6 males, aged 68-84 years (average 74.8 years), and those with back pain of 0.3- 4 years, an average of 0.42 years. CT images of all patients with vertebral CT scan, coronal and sagittal reconstruction, MRI sagittal STIR, T_1WI, T_2WI, X-ray and other imaging data were retrospectively analyzed. Results The lateral vertebral X-ray films showed a translucent and translucent line in the vertebral body showing fractures. CT showed that there was fluid-like change in the vertebral body and the appearance of gas-like shell-like changes. MRI showed the presence of fluid in the vertebral body The signal area has a complete border. Conclusion Osteoporosis Kümmell’s disease shows a certain degree of specificity in imaging. Combined with clinical features, it can provide support for early clinical diagnosis.