Spitz J, Lauer I, Tittel K
Institut für Nuklearmedizin, Städtisches Klinikum Wiesbaden.
Nuklearmedizin. 1991 Oct;30(5):155-60.
Two independent groups of patients were studied by bone scintigraphy to demonstrate age-dependent changes in the appearance time of fractures: 83 patients with 123 fractures of the spine showed neither by multiple regression analysis nor by separation into two subgroups (younger and older than 55 years) a clinically significant difference by scintimetric evaluation. A second group of 162patients with multiple trauma demonstrated no age dependence of the rate of additional bone lesions shown by scintigraphy. Instead a clear dependence on the site of the lesion and the time after trauma was found: fractures of the shafts of long bones and fractures of the pelvis and spine showed up significantly later than fractures in the neighbourhood of the distal joints. 12-14 days after a trauma all fractures may be detected with a high accuracy independently from the fracture site (except for fractures of the skull which did not show up at all in most cases). Thus, the differences in the appearing time of fractures are not age- but site-dependent.
通过骨闪烁显像对两组独立的患者进行研究,以证明骨折出现时间的年龄依赖性变化:83例有123处脊柱骨折的患者,无论是通过多元回归分析还是分为两个亚组(年龄小于55岁和大于55岁),闪烁显像评估均未显示出临床显著差异。第二组162例多发伤患者中,闪烁显像显示的额外骨损伤发生率不存在年龄依赖性。相反,发现其明显依赖于损伤部位和创伤后的时间:长骨干骨折以及骨盆和脊柱骨折的出现时间明显晚于远端关节附近的骨折。创伤后12 - 14天,所有骨折均可被高精度检测到,与骨折部位无关(大多数情况下颅骨骨折根本不出现除外)。因此,骨折出现时间的差异不是年龄依赖性的,而是部位依赖性的。