目的 分析不同影像学方法对骨 质疏松性椎体压缩骨折的诊断价值。方 法 收集2014年8月-2016年8月来我院就诊 的45例骨质疏松性椎体压缩骨折患者， 对纳入对象分别采用X线、CT、MRI进行 检查，比较三种检查方法的椎体形态学 改变、骨折线、椎管狭窄、附件骨折检 出率情况。 结果 3种影像学检查方法 检出椎体形态学改变的比例相同，均为 100%(P＞0.05)；CT扫描检出骨折线、椎 管狭窄、附件骨折检出率分别为91.1%、 22.2%、20.0%，均高于X线检查和MRI检查 (P＜0.05)，MRI在鉴别陈旧性与新发骨 折，椎体压缩骨折病因学上有优势。结论 X线检查作为传统的骨折首选检查方法对 于骨质疏松性椎体压缩骨折仍具有初步诊 断的价值，CT检查可以增加骨质疏松性椎 体压缩骨折的检出率，对疾病的诊断和治 疗具有重要的临床价值，MRI对骨质疏松 性椎体压缩骨折的新旧判断有帮助。

Objective To analyze the diagnostic values of different imaging methods for osteoporotic vertebral compression fractures. Methods A total of 45 cases of patients with osteoporotic vertebral compression fractures from August 2014 to August 2016 in our hospital were collected for the study and examined by X ray, CT and MRI respectively. The detection rates of vertebral morphological changes, fracture line, spinal stenosis and accessory fracture were compared between the three methods. Results The detection rate of proportion of vertebral morphological changes by the 3 kinds of imaging methods was the same with 100% (P>0.05). The detection rate of fracture line, spinal stenosis and accessory fracture of CT scan were 91.1%, 22.2% and 20% respectively, which were higher than those in the X-ray or MRI examination (P<0.05). MRI had an advantage in differential diagnosis of old or new fractures and the etiology of vertebral compression fractures. Conclusion X-ray examination as a preferred and traditional fracture method still have the value of preliminary diagnosis in the examination for osteoporotic vertebral compression fractures, and CT examination can increase the detection rate of osteoporotic vertebral compression fractures and have important clinical value in the diagnosis and treatment of the disease, and MRI for osteoporotic vertebral compression fractures can help identify the old or new disease, Therefore the three imaging methods can be chosen according to the condition.