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首页> 外文期刊>Journal of Korean medical science >Practical Use of Bone Scan in Patients with an Osteoporotic Vertebral Compression Fracture
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Practical Use of Bone Scan in Patients with an Osteoporotic Vertebral Compression Fracture

机译：骨扫描在骨质疏松性椎体压缩性骨折患者中的实际应用

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摘要

Rib fractures are one of main causes of chest or flank pain when related to an osteoporotic vertebral compression fracture (OVCF). The authors investigated the incidence and risk factors of rib fracture in 284 patients with OVCF using bone scans and evaluated the feasibility as to whether bone scans could be utilized as a useful screening tool. Hot uptake lesions on ribs were found in 122 cases (43.0%). The factors analyzed were age, sex, number and locations of fractured vertebrae, BMD, and compression rates as determined using initial radiography. However, no statistical significances were found. In 16 cases (5.6%), there were concurrent multiple fractures of both the thoracic and lumbar spines not detected by single site MRI. Sixty cases (21.1%) of OVCF with the a compression rate of less than 15% could not be identified definitely by initial plain radiography, but were confirmed by bone scans. It is concluded that a bone scan has outstanding ability for the screening of rib fractures associated with OVCF. Non-adjacent multiple fractures in both thoracic and lumbar spines and fractures not identified definitely by plain radiography were detected on bone scans, which provided a means for determining management strategies and predicting prognosis.
机译：与骨质疏松性椎体压缩性骨折（OVCF）相关时，肋骨骨折是导致胸部或胁腹疼痛的主要原因之一。作者使用骨扫描技术调查了284例OVCF患者肋骨骨折的发生率和危险因素，并评估了是否可以将骨扫描技术用作有用的筛查工具。在肋骨中发现热吸收损伤122例（43.0％）。分析的因素包括年龄，性别，椎骨骨折的数量和位置，BMD以及使用初始X射线照相术确定的压缩率。但是，没有发现统计学意义。 16例（5.6％）并发多发性胸椎和腰椎骨折，单点MRI无法检测到。最初的X线平片未明确确定压缩率低于15％的60例（21.1％）OVCF，但经骨扫描证实。结论是，骨扫描具有筛查与OVCF相关的肋骨骨折的出色能力。在骨骼扫描中发现了胸椎和腰椎的非相邻多发性骨折以及经平片未明确确定的骨折，这为确定治疗策略和预测预后提供了一种手段。

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