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目的:评价在腰椎单纯性楔形压缩性骨折的稳定性的判断中单纯平片检查是否充分。对象与方法:对35例腰椎平片诊为单纯性楔形压缩性骨折的病人进行CT检查。分别根据Gehweiler及Scotte所描述的平片及CT估价椎体骨折稳定性标准,来判断骨折的稳定与否,并进行统计学分析。结果:平片分析结果,35例中24例诊断为稳定性骨折,11例诊断为不稳定性骨折;CT分析结果诊断为稳定性骨折10例,不稳定性骨折25例。两种方法检查的结果有显著性差异(P<0.05)。结论:X线平片显示椎体单纯性压缩性骨折时均应做CT检查判断其稳定性。
PURPOSE: To evaluate whether the plain film test is adequate in the judgment of the stability of simple wedge compression fractures of the lumbar spine. Subjects and Methods: Thirty-five patients with plain wedge compression fracture underwent plain radiographs. According to Gehweiler and Scotte described plain film and CT evaluation of vertebral fracture stability criteria to determine the stability of the fracture or not, and statistical analysis. Results: Of the 35 cases, 24 were diagnosed as stable fractures and 11 were diagnosed as unstable fractures. CT was diagnosed as 10 cases of stable fractures and 25 cases of unstable fractures. There was a significant difference between the two methods (P <0.05). Conclusion: X-ray plain vertebral compression fractures should be done when CT examination to determine its stability.