蒋慧娇

    [摘要]?目的?探究定量CT(quantitative?computed?tomography，QCT)與三维CT在绝经期骨质疏松(osteoporosis，OP)性椎体骨折患者中的应用价值。方法?选取2019年4月至2020年9月临海市第一人医院收治的OP椎体骨折的85例绝经期患者作为OP骨折组，同时选取性别、年龄均与OP骨折组相对应的健康志愿者40例作为健康对照组，分析两组患者的骨密度CT值和T值，以术后病理为“金标准”，通过QCT检查、三维CT检查及联合检查，对前柱骨折、中柱骨折、后柱骨折、稳定性骨折、爆裂骨折、椎管狭窄检查准确率进行比较，分析不同检查方式的特异性、敏感度、阳性预测值及阴性预测值。结果?与健康对照组相比，OP骨折组骨密度T值、CT值、总脂肪面积、截面观察点均降低，腹内脂肪面积、骨骼肌面积、局部后凸角、椎体楔变角水平均升高，差异均有统计学意义(P[Abstract]?Objective?To?explore?the?quantitative?computed?tomography?CT?(QCT)?and?three-dimensional?(3D)?CT?in?the?treatment?of?postmenopausal?osteoporosis?(OP)?patients?with?vertebral?fractures.?Methods?Eighty-five?menopausal?patients?with?OP?vertebral?fractures?admitted?to?Linhai?First?Peoples?Hospital?from?April?2019?to?September?2020?were?selected?as?the?OP?fracture?group，?and?another?40?healthy?volunteers?with?gender?and?age?corresponding?to?the?OP?fracture?group?were?selected?as?the?healthy?control?group.?Bone?density?CT?values?and?T?values?of?the?two?groups?were?analyzed ......