CAJ | 학술논문

目的：探讨X线平片、CT、MRI检查在颈椎病诊断中的作用。方法选取2011年9月～2013年5月我院收治的颈椎病患者57例，所有患者皆进行X线平片、CT、MRI检查。结果对颈椎病的原因分析，MRI对钩突增生、颈椎曲度异常、椎间隙狭窄的诊断率高，显著高于其他两种方法，差异有统计学意义（P＜0.05）。而CT对钩突增生、小关节突增生、椎体后缘骨赘形成、骨性椎管狭窄的诊断率高于X线平片（P＜0.05）。而对颈椎曲度异常、椎间隙狭窄诊断率低于X线平片（P＜0.05）。X线平片可以观察到颈椎双边征及椎间孔狭窄。而MRI则对纤维性椎管狭窄，伴脊髓水肿、变性，寰枢椎半脱位有独特的征象。结论综合X线平片、CT、MRI可提高颈椎病的早期诊断和定性诊断的水平。
목적：탐토X선평편、CT、MRI검사재경추병진단중적작용。방법선취2011년9월～2013년5월아원수치적경추병환자57례，소유환자개진행X선평편、CT、MRI검사。결과대경추병적원인분석，MRI대구돌증생、경추곡도이상、추간극협착적진단솔고，현저고우기타량충방법，차이유통계학의의（P＜0.05）。이CT대구돌증생、소관절돌증생、추체후연골췌형성、골성추관협착적진단솔고우X선평편（P＜0.05）。이대경추곡도이상、추간극협착진단솔저우X선평편（P＜0.05）。X선평편가이관찰도경추쌍변정급추간공협착。이MRI칙대섬유성추관협착，반척수수종、변성，환추추반탈위유독특적정상。결론종합X선평편、CT、MRI가제고경추병적조기진단화정성진단적수평。
Objective To explore the effect of X-ray, CT and MRI in the diagnosis of cervical spondylosis. Methods 57 patients with cervical spondylosis were all collected from 2011 September to 2013 May in our hospital, who were examined with X-ray, CT and MRI examination. Results The analysis of causes for cervical spondylosis showed that the diagnosis rate of MRI on uncinate hyperplasia, cervical curvature abnormality, intervertebral space stenosisrate was significantly higher than the other two methods, the difference was statistically significan(P< 0.05). While the diagnosis rate of CT on uncinate hyperplasia, facet hypertrophy, osteophyte formation, bony canalstenosis was higher than X-ray(P < 0.05). The diagnosis rate of CT on abnormal cervical curvature and intervertebral space stenosisrate was lower than X-ray(P < 0.05). X-ray could observe bilateralsyndrome and cervical intervertebral foramen stenosis, while the MRI had unique features on fibrous canal stenosis with spinal cord edema, degeneration, atlantoaxial subluxation. Conclusion Integrated X-ray, CT and MRI can improve the early diagnosis and qualitative diagnosis level of cervical spondylosis.