| Kümmell病的影像学诊断分析 |
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投稿时间：2015-08-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 赵立来 |
ZHAO Li-lai |
浙江中医药大学第一临床医学院骨科, 浙江 杭州 310006
安吉县人民医院骨二科, 浙江 湖州 313300 |
Department of Orthopaedics, the First Clinical College Affiliated to Zhejiang University of Traditional Chinese Medicine, Huzhou 313300, Zhejiang, China |
495240843@qq.com |
| 童培建 |
TONG Pei-jian |
浙江中医药大学第一临床医学院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, the First Clinical College Affiliated to Zhejiang University of Traditional Chinese Medicine, Huzhou 313300, Zhejiang, China |
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| 肖鲁伟 |
XIAO Lu-wei |
浙江中医药大学第一临床医学院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, the First Clinical College Affiliated to Zhejiang University of Traditional Chinese Medicine, Huzhou 313300, Zhejiang, China |
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| 戎露江 |
RONG Lu-jiang |
安吉县人民医院骨二科, 浙江 湖州 313300 |
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| 娄云龙 |
LOU Yun-long |
安吉县人民医院骨二科, 浙江 湖州 313300 |
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| 期刊信息：《中国骨伤》2016年，第29卷，第5期，第460-463页 |
| DOI：10.3969/j.issn.1003-0034.2016.05.014 |
| 基金项目: |
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| 中文摘要:目的:探讨骨质疏松性Kümmell病的影像学特征对其诊断价值。方法:2010年5月至2014年5月共收治经病理证实的Kümmell病患者16例,男4例,女12例;年龄67～83岁,平均73.4岁;腰背部疼痛病史2个月～3年,平均4.7个月。回顾性分析所有病椎X 线片,CT 横断位、矢状位和冠状位重建与MRI矢状位T1WI、T2WI及STIR影像学资料。结果:正侧位X线片病椎可见线形透亮线样“椎体裂缝征”,CT可见椎体内伴有气体和(或)液体的空壳样改变,MRI提示椎体出现边界完整的液体信号区域。结论:骨质疏松性Kümmell病影像学表现具有一定特异性,结合临床发病特点,为早期明确诊断提供依据。 |
| 【关键词】Kümmell病 影像学 骨质疏松症 椎体骨折 |
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| Diagnostic analysis of the radiologic characteristics in osteoporotic Kümmell's disease |
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| ABSTRACT Objective: To explore the diagnostic value of the radiologic characteristics of osteoporotic Kümmell's disease. Methods: Total 16 patients with pathologically confirmed osteoporotic Kümmell's diseases were reviewed from May 2010 to May 2012,including 4 males and 12 females with the mean age of 73.4 years(ranged,67 to 83 years old). Radiologic imagings of all patients,including X-ray,CT and MRI,were analyzed retrospectively. Results: Intravertebral linear clefts could be seen on the AP and lateral X-ray films of vertebrae. Sagittal and axial CT scans demonstrated the vacuum cleft phenomenon with liquid and air was identified within the vertebral body. Sagittal MRI showed the callapsed vertebral segment and the area of fluid signal with clear and intact border within the vertebral body. The fluid signal was low on T1-weighted images and high on T2-weighted images and stir images,which was corresponding to an intravertebral vacuum cleft. Conclusion: The radiologic characteristics of Kümmell's diseases can provide valuable evidences for the early diagnosis. |
| KEY WORDS Kümmell's disease Radiology Osteoporosis Vertebral fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵立来,童培建,肖鲁伟,戎露江,娄云龙.Kümmell病的影像学诊断分析[J].中国骨伤,2016,29(5):460~463 |
| 英文格式: | ZHAO Li-lai,TONG Pei-jian,XIAO Lu-wei,RONG Lu-jiang,LOU Yun-long.Diagnostic analysis of the radiologic characteristics in osteoporotic Kümmell's disease[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(5):460~463 |
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