X线、MRI诊断原发性骨质疏松椎体压缩性骨折的价值贯福春摘要：目的探討X线、MRI诊断原发性骨质疏松椎体压缩性骨折的临床价值。方法选取2018年4月～2019年4月在我院诊治的96例椎体压缩性骨折患者为研究对象，根据疾病良恶性分为观察组和对照组，观察组为53例原发性骨质疏松症椎体压缩性骨折，对照组为43例转移瘤继发性椎体压缩性骨折，比较两组X线片、MRI影像图像特点。结果观察组X线检出椎体骨折72例，以凹陷形为主（65.27%），椎体骨密度降低占93.05%，椎管变形占11.11%，累及终板占30.55%。对照组X线检出椎体骨折23例，形态以楔形压缩为主（56.52%），椎管狭窄占17.39%，累及终板占26.09%。MRI检查出观察组椎体后缘上角或下角后翘占97.22%，T1WI序列显示局限性低信号占38.89%，T2WI脂肪抑制序列显示高信号占58.33%;对照组圆隆状椎体后缘占96.07%，不规则结节状椎体旁软组织肿块占72.54%，骨折病灶T1WI显示弥漫性低信号占86.27%，T2WI脂肪抑制序列显示高信号占92.15%，增强扫描显示明显强化。结论X线、MRI均可鉴别诊断原发性骨质疏松椎体压缩性骨折和转移瘤继发性椎体压缩性骨折，临床应根据患者具体情况，选择适宜的方案进行检查。关键词：骨质疏松;椎体压缩性骨折;X线;MRI：R445.2：ADOI：10.3969/j.issn.1006-1959.2020.03.057：1006-1959（2020）03-0171-02TheValueofX-rayandMRIintheDiagnosisofPrimaryOsteoporoticCompressionFractureofVertebralBodyGUANFu-chun（DepartmentofRadiology，DongliHospital，DongliDistrict，Tian激n300300，China）Abstract：ObjectiveToexploretheclinicalvalueofX-rayandMRIinthediagnosisofprimaryosteoporoticcompressionfractureofvertebralbody.MethodsAtotalof96patientswithcompressionfractureofvertebralbodydiagnosedandtreatedinourhospitalfromApril2018toApril2019wereselectedasresearchsubjects.Theyweredividedintoobservationgroupandcontrolgroupaccordingtothebenignandmalignantdisease，andobservationgroupwas53casesofprimaryosteoporosiscompressionfractureofvertebralbodyinthecontrolgroupwere43casesofsecondarycompressionfractureofvertebralbodywithmetastasesinthecontrolgroup.ThecharacteristicsofX-rayfilmsandMRIimageswerecomparedbetweenthetwogroups.ResultsX-rayexaminationshowedthat72casesofcompressionfractureofvertebralbodyintheobservationgroupweremainlydepressed（65.27%）.Thedecreaseofvertebralbonedensityaccountedfor93.05%，thespinalcanaldeformationaccountedfor11.11%，andtheendplateinvolved30.55%.Inthecontrolgroup，23casesofvertebralfracturesweredetectedbyX-ray.Theshapewasmainlywedge-shapedcompression（56.52%），spinalcanalstenosisaccountedfor17.39%，andendplateinvolvementinvolved26.09%.MRIshowedthattheupperorlowerangleoftheposteriormarginofthevertebralbodyintheobservationgroupaccountedfor97.22%.T1WIsequenceshowedlocalizedlowsignalaccountedfor38.89%，T2WIfatinhibitionsequenceshowedhighsignalaccountedfor58.33%;controlgrouproundedvertebralposteriormarginaccountedfor96.07%，irregularnodularparavertebralsofttissuemassaccountedfor72.54%，fractureLesionT1WIshoweddiffuselowsignalaccountingfor86.27，T2WIfatsuppressionsequenceshowedhighsignalaccountingfor92.15%，andenhancedscanshowedsignificantenhancement.ConclusionX-rayandMRIcandifferentiateprimaryosteoporoticcompressionfractureofvertebralbodyandmetastatictumorsecondarycompressionfractureofvertebralbody.Theappropriateschemeshouldbeselectedaccordingtothespecificsituationofthepatient.Keywords：Osteoporosis;Compressionfractureofvertebralbody;X-ray;MRI椎体压缩性骨折（compressionfractureofvertebralbody）是临床常见骨折，常见治疗方式为手术治疗，包括椎体成形术、椎弓根钉固定等。临床手术方式的选择，需要准确了解患者骨折线、骨折...