CAJ | 학술논문

目的：探讨MRI检查在脊柱转移肿瘤诊断中的临床价值。方法回顾性分析2012年5月~2013年4月我院收治的51例脊柱转移肿瘤患者影像学资料，所有患者均分别进行CT与MRI检查，对两种检查的诊断敏感性与对病情判定情况进行统计并做对比分析。结果MRI检查确诊脊柱转移肿瘤有49例患者，其诊断敏感性为96.1%；而经CT 检查为脊柱转移肿瘤有23例患者，其临床诊断敏感性为45.1%；对脊柱转移肿瘤检查MRI的诊断敏感性明显高于CT，差异具有统计学意义（x2=5.17，P＜0.05）。本研究中经MRI与CT检查发现各种病变共269例次，MRI检出总例数261例次，均明显高于CT检查137例次，差异具有统计学意义（x2=7.21，P＜0.05）。结论 MRI检查可有效检查出早期脊柱转移肿瘤，并且在评价脊柱受累的范围和程度有着重要意义，它为临床制定治疗方案和判定预后提供了重要的依据。
목적：탐토MRI검사재척주전이종류진단중적림상개치。방법회고성분석2012년5월~2013년4월아원수치적51례척주전이종류환자영상학자료，소유환자균분별진행CT여MRI검사，대량충검사적진단민감성여대병정판정정황진행통계병주대비분석。결과MRI검사학진척주전이종류유49례환자，기진단민감성위96.1%；이경CT 검사위척주전이종류유23례환자，기림상진단민감성위45.1%；대척주전이종류검사MRI적진단민감성명현고우CT，차이구유통계학의의（x2=5.17，P＜0.05）。본연구중경MRI여CT검사발현각충병변공269례차，MRI검출총례수261례차，균명현고우CT검사137례차，차이구유통계학의의（x2=7.21，P＜0.05）。결론 MRI검사가유효검사출조기척주전이종류，병차재평개척주수루적범위화정도유착중요의의，타위림상제정치료방안화판정예후제공료중요적의거。
Objective To investigate the clinical value of MRI in diagnosis of spinal metastases.Methods The imaging data of patients with spinal metastases in our hospital from May 2011 to April 2012 were retrospectively analyzed.All patients were respectively examined by CT and MRI.The diagnostic sensitivity and disease determination of two check methods were statistically analyzed.Results The diagnosis of spinal metastases was 49 patients (96.1%)by MRI,that was significantly higher than that of in 23 patients (45.1%)by CT.The difference between the two inspection results was statistically significant(x2 =5.17,P<0.05).In this study,there were 269 cases of various diseases by the MRI and CT.261 cases of the total detected number by MRI was significantly higher than 137 cases by CT,the difference was statistically significant(x2 =7.21,P<0.05).ConclusionMRI can effectively detect early spinal metastases,and play an important role in the evaluation of the scope and extent of involvement of the spine.It provides an important basis for clinical treatment plan and judging the prognosis.