摘要
目的 探讨强直性脊柱炎患者脊柱骨折的临床及影像学特点,分析损伤机制并提高临床认识。方法 回顾性分析56例临床最终诊断为AS脊柱骨折患者的临床及影像学资料,依据损伤机制分为创伤性骨折和非创伤性骨折两组,对两组患者的年龄、性别、病程、骨折部位、累及范围、是否合并脊髓损伤等进行统计学分析,并总结两组患者的影像学特征。结果 56例患者,其中创伤性骨折32例,非创伤性骨折24例,经影像学分析及比较两组患者脊柱骨折发生部位、是否经椎间盘骨折、是否合并脊髓损伤差异均有统计学意义(P<0.05),但是否累及三柱差异无统计学意义(P>0.05)。结论 AS患者伴发的脊柱骨折,依不同受伤机制可分为创伤性骨折和非创伤性骨折,二者的发生部位、伴随损伤及影像学特征均有差异,综合应用CT和MR等影像学检查有助于减少漏诊,并做出明确诊断。
Objective To investigate the clinical and imaging features of spinal fractures in patients with ankylosing spondylitis,analyze the injury mechanism and improve clinical understanding.Methods The clinical and imaging data of 56 patients with AS spinal fractures were retrospectively analyzed.According to the injury mechanism,they were divided into two groups:traumatic fractures and non-traumatic fractures.Statistical analysis was performed on the extent of involvement,the extent of involvement,and whether there was spinal cord injury,and the imaging characteristics of the two groups of patients were summarized.Results There were 56 patients,including 32 traumatic fractures and 24 non-traumatic fractures.Imaging analysis and comparison were performed between the two groups,There were significant differences in the location of spinal fractures,whether there was a fracture through the intervertebral disc,and whether there was a spinal cord injury between the two groups(P<0.05),but there was no significant difference in whether the three columns were involved(P>0.05).Conclusion Spinal fractures associated with AS patients can be divided into traumatic fractures and non-traumatic fractures according to different injury mechanisms.The occurrence sites,accompanying injuries and imaging characteristics of the two are different.CT and MRI images are comprehensively applied.Medical examination can help reduce missed diagnosis and make a definite diagnosis.
作者
李登宇
张丽丽
宋青凤
张国庆
张斌青
LI Deng-yu;ZHANG Li-li;SONG Qing-feng;ZHANG Guo-qing;ZHANG Bin-qing(Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471002,Henan Province,China)
出处
《中国CT和MRI杂志》
2024年第3期162-164,共3页
Chinese Journal of CT and MRI
关键词
强直性脊柱炎
脊柱骨折
诊断
磁共振成像
Ankylosing Spondylitis
Spinal Fracture
Diagnosis
Magnetic Resonance Imaging
