难辨性良、恶性椎体压缩骨折ct与mri影像学分析

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1、授予单位代码１００８９学弓或巾那１２１３０巧度钟＞、這ＨｅｂｅｉＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ硕：ｔ学位论文在职科学学位难辨性良、恶性椎体压缩骨折ＣＴ与ＭＲＩ影像学分析学位申请人；封英发导师：冯建刚教授＾专业；外科学二级学院：第四医院２０１５年１０月Ｉ＿－Ｌ－河化医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下由本人独立完成。木学，位论文研究所获得的研究成果其知识产化巧河北医科大学所行。河北帖，科大学行化对木学位论文进行交流、公开和巧用。凡发衷与学位论文１：

2、要－内容相关的论义？，第署例单位为河北睽科火学试验材料、虹始数扼、，巾报的专利等知识产权均归河北輕科大学所有。巧则承化相巧的法律山，－—口。－中Ｖ，；，化。社．批■＾＾／＾哥师铭尊硏究化雜名：＾＾＾；’．刊＂。，７＾机＇巧相唔产７Ｉ河北屋科大学研究生学位论文独创性声明｜１木论文是在诗师指导Ｋ迸行的研究Ｔ．作及取得的硏究成果，除Ｔ义｜特别加Ｗ掠注等内容外，文中不包行巧他人ｄ发表或撰巧的研究成巧，指导教师对此进行了市定。本论文由本人独立撰写，义责ｎ负。研究生签名；巧帅签章：。年＇巧＇曰多ｉ目录中文摘要·············

3、·································································1英文摘要··············································································3英文缩写··············································································5研究论文难辨性良、恶性椎体压缩骨折CT与MRI影像学分析前言····································

4、··········································6材料与方法·····································································8结果··············································································11附图··············································································13附表··············

5、································································14讨论··············································································16结论··············································································22参考文献································································

6、········22综述良、恶性椎体压缩骨折CT/MRI影像学分析及治疗……………..26致谢····················································································41个人简历··············································································42中文摘要难辨性良、恶性椎体压缩骨折CT与MRI影像学分析摘要目的：我国现阶段人口结构老龄化趋势日渐加重，骨质疏松和良、恶性肿瘤所致椎体压缩性骨折在临床上发病率逐年

7、增加，对压缩椎体良恶性或者骨折类型的鉴别，决定了临床治疗方案的选择及后续治疗的方案。典型的骨质疏松或者良、恶性肿瘤导致的椎体压缩性骨折的影像学表现比较容易鉴别。老年人发生椎体压缩性骨折时，不一定都有明显的外伤史或者肿瘤病史，临床症状及影像学表现也往往不典型，加之外伤受力时外力等综合因素改变了肿瘤原有的影像学表现，导致影像学上难以鉴别导致骨折的原发病，从而为诊断疾病带来了困难，同时加重了患者的经济负担，带来了严重的社会经济