CAJ | 학술논문

目的对比分析X线平片、CT及MRI在脊柱转移中的诊断价值。方法收集30例均接受X线平片、CT及MRI检查的脊柱转移瘤确诊患者，比较这3种检查手段对转移瘤的检出效果。结果三种检查方法显示脊柱转移的各种病变数目共171个。其中X线平片共检出59个病变，占总数的34.50%，诊断脊柱转移病例数9例，占总数的30.0%；CT共检出88个病变，占总数的51.46%，诊断脊柱转移病例数16例，占总数的53.33%；MRI共检出171个病变，占总数的100.0%，诊断脊柱转移病例数29例，占总数的96.67%。比较此3种方式对病变检出个数与脊柱转移瘤诊断率具有明显差异(P<0.05)。结论 X线平片、CT及MRI在脊柱转移中均具有重要的诊断价值，MRI在检出脊柱转移中具有明显独特优势。
목적대비분석X선평편、CT급MRI재척주전이중적진단개치。방법수집30례균접수X선평편、CT급MRI검사적척주전이류학진환자，비교저3충검사수단대전이류적검출효과。결과삼충검사방법현시척주전이적각충병변수목공171개。기중X선평편공검출59개병변，점총수적34.50%，진단척주전이병례수9례，점총수적30.0%；CT공검출88개병변，점총수적51.46%，진단척주전이병례수16례，점총수적53.33%；MRI공검출171개병변，점총수적100.0%，진단척주전이병례수29례，점총수적96.67%。비교차3충방식대병변검출개수여척주전이류진단솔구유명현차이(P<0.05)。결론 X선평편、CT급MRI재척주전이중균구유중요적진단개치，MRI재검출척주전이중구유명현독특우세。
Objective To compare and analyze the diagnostic values of X-ray,XT and MRI in the spinal metastasis.Methods 30 cases of spinal metastasis patients were selected as the study objects,and al of these patients were given three examination approaches of X-ray,CT and MRI,then the examination results were compared.Results The study results showed that there were 171 times displaying a variety of metastatic spinal lesions with these three methods,in which 59 times of pathological changes were diagnosed with X-ray,accounting for 34.50%,and 9 cases were diagnosed as spinal metastasis,accounting for 30.0%;88 times of pathological changes were diagnosed with CT,accounting for 51.46%,and 16 cases were diagnosed as spinal metastasis,accounting for 53.33%;171 times of pathological changes were diagnosed with MRI, accounting for 100.0%,and 29 cases were diagnosed as spinal metastasis,accounting for 96.67%.There were significant dif erences among the pathological changes diagnostic times and spinal metastasis dianostic rate of these three methods ( <0.05).Conclusion X-ray, CT and MRI are important in the diagnosis of spinal metastasis, among which MRI has obvious and special advantages.