胸腰椎压缩性骨折压缩程度评估方法比较

doi:10.13618/j.issn.1001-5728.2016.02.017

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题名	胸腰椎压缩性骨折压缩程度评估方法比较
其他题名	Study on the methods for assessment of compression extent in thoracic and lumbar vertebral compression fractures
作者	缪寿亮1; 周湘兰1; 郑祥武1,2
发表日期	2016-04-20
发表期刊	中国法医学杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	法医临床学胸腰椎压缩性骨折司法鉴定
其他关键词	forensic clinical medicine ; thoracic and lumbar vertebrae ; compression fracture ; forensic identification
摘要	目的探讨胸腰椎压缩性骨折压缩程度不同评估方法间的差异。方法 1.选取211例胸腰椎压缩性骨折X线片资料,用4种方法以压缩椎体前缘高度分别与其后缘、上一椎体前缘、下一椎体前缘、上下椎体前缘高度均值比较,评估相应压缩程度并比较各方法间的差异。2.选取其中146例,测量压缩椎体相邻上方三个正常椎体高度,比较中位椎体前缘高度分别与其后缘、上一椎体前缘、下一椎体前缘、上下椎体前缘高度均值的差异。结果 1.压缩椎体前缘分别与后缘、上一椎体前缘、上下椎体前缘高度均值评估的压缩程度,两两组间P<0.05;但压缩椎体前缘与后缘、下一椎体前缘评估组间P>0.05。2.正常中位椎体前缘与后缘、上一椎体前缘、下一椎体前缘高度组间均P<0.05,而与上下椎体前缘高度均值组间P>0.05,且一致性较好。结论本文不同方法对胸腰椎骨折压缩程度评估存在差异,压缩椎体前缘与上下椎体前缘高度均值比较评估其压缩程度更准确。
其他摘要	Objective To study and compare the different methods for assessment of compression extent in thoracic and lumbar vertebral compression fractures. Methods (1) From the X-ray of 211 patients with thoracic and lumbar vertebral compression fracture,four ways were used to calculated the degree of compression. The anterior vertebral body height of compressed vertebra was compared with its posterior vertebral body height,anterior height of its upper adjacent vertebra,anterior height of its lower adjacent vertebra,average of adjacent vertebra anterior height,respectively. The variability of the degree by different methods was analyzed. (2) The three normal upper adjacent vertebra height were measured of 146 among these patients. The anterior height of middle vertebra compared with its posterior height,anterior height of its upper/lower adjacent vertebra,average of adjacent vertebra anterior height,respectively. And the variability of height was analyzed. Results 1. There was significant variance of the compression degree by each method (P < 0.05),except for the degree calculated by anterior with its posterior vertebral body height and by anterior with its lower adjacent vertebra anterior height (P > 0.05). 2. The middle vertebra posterior height,the upper adjacent vertebra height,the lower adjacent vertebra height had significant variability with the middle vertebra anterior height (P < 0.05). The middle vertebra anterior height had no significant variability (P > 0.05) but excellent correlation with average of adjacent vertebra anterior height. Conclusion In our study,there was significant variance of different ways to calculate the compression extent in thoracic and lumbar vertebral compression fractures,the compression extent calculated by compressed vertebra anterior height with average of adjacent vertebra anterior height was more accurate.
ISSN	1001-5728
卷号	31 期号:02 页码:171-173
DOI	10.13618/j.issn.1001-5728.2016.02.017
页数	3
收录类别	CNKI ; 万方 ; 维普 ; CSCD ; PKU ; 北大核心 ; ISTIC
URL	查看原文
CSCD记录号	CSCD:5685101
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/42719
专题	附属第一医院医院管理处_司法鉴定中心（挂靠）
作者单位	1.温州医科大学附属第一医院放射影像中心; 2.温州医科大学司法鉴定中心
第一作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	缪寿亮,周湘兰,郑祥武. 胸腰椎压缩性骨折压缩程度评估方法比较[J]. 中国法医学杂志,2016,31(02):171-173.
APA	缪寿亮, 周湘兰, & 郑祥武. (2016). 胸腰椎压缩性骨折压缩程度评估方法比较. 中国法医学杂志, 31(02), 171-173.
MLA	缪寿亮,et al."胸腰椎压缩性骨折压缩程度评估方法比较".中国法医学杂志 31.02(2016):171-173.

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