中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
9期
197-198
,共2页
CT%MRI%腰椎间盘突出%椎间盘影像
CT%MRI%腰椎間盤突齣%椎間盤影像
CT%MRI%요추간반돌출%추간반영상
CT%MRI%Lumbar disc herniation%Intervertebral disc image
目的：探讨和对比腰椎间盘突出症患者MRI与CT检查诊断的准确性以及临床应用价值。方法选取该院在2013年6月—2014年5月期间收治的136例腰椎间盘突出病患者,均给予MRI和CT检查,然后将结果与经过手术得到证实的数据进行对比,以观察两组对椎间盘突出、游离及真空象以及椎间盘膨出和脱出的检出率。结果MRI组患者椎间盘突出、游离及真空象的检出率均为100%,椎间盘膨出和脱出的检出率分别为94.5%和91.6%,均明显高于CT组检出率(分别为92.5%、88.8%、70.59%、86.49%和83.33%),该两组上述指标对比,具有明显的差异(P<0.05),存在统计学意义。MRI组的总检出率为97.73%,亦明显高于CT组(87.50%),两组总检出率对比,其差异具有统计学意义(c2=2.114,P<0.05)。结论对于腰椎间盘突出症患者,采用MRI有着检出率高的优点,适合在CT不能够得到确诊的临床病例,结合进行诊断,该两种检查方法在临床诊断中可以互补,从而提高腰椎间盘突出症检出率。
目的：探討和對比腰椎間盤突齣癥患者MRI與CT檢查診斷的準確性以及臨床應用價值。方法選取該院在2013年6月—2014年5月期間收治的136例腰椎間盤突齣病患者,均給予MRI和CT檢查,然後將結果與經過手術得到證實的數據進行對比,以觀察兩組對椎間盤突齣、遊離及真空象以及椎間盤膨齣和脫齣的檢齣率。結果MRI組患者椎間盤突齣、遊離及真空象的檢齣率均為100%,椎間盤膨齣和脫齣的檢齣率分彆為94.5%和91.6%,均明顯高于CT組檢齣率(分彆為92.5%、88.8%、70.59%、86.49%和83.33%),該兩組上述指標對比,具有明顯的差異(P<0.05),存在統計學意義。MRI組的總檢齣率為97.73%,亦明顯高于CT組(87.50%),兩組總檢齣率對比,其差異具有統計學意義(c2=2.114,P<0.05)。結論對于腰椎間盤突齣癥患者,採用MRI有著檢齣率高的優點,適閤在CT不能夠得到確診的臨床病例,結閤進行診斷,該兩種檢查方法在臨床診斷中可以互補,從而提高腰椎間盤突齣癥檢齣率。
목적：탐토화대비요추간반돌출증환자MRI여CT검사진단적준학성이급림상응용개치。방법선취해원재2013년6월—2014년5월기간수치적136례요추간반돌출병환자,균급여MRI화CT검사,연후장결과여경과수술득도증실적수거진행대비,이관찰량조대추간반돌출、유리급진공상이급추간반팽출화탈출적검출솔。결과MRI조환자추간반돌출、유리급진공상적검출솔균위100%,추간반팽출화탈출적검출솔분별위94.5%화91.6%,균명현고우CT조검출솔(분별위92.5%、88.8%、70.59%、86.49%화83.33%),해량조상술지표대비,구유명현적차이(P<0.05),존재통계학의의。MRI조적총검출솔위97.73%,역명현고우CT조(87.50%),량조총검출솔대비,기차이구유통계학의의(c2=2.114,P<0.05)。결론대우요추간반돌출증환자,채용MRI유착검출솔고적우점,괄합재CT불능구득도학진적림상병례,결합진행진단,해량충검사방법재림상진단중가이호보,종이제고요추간반돌출증검출솔。
Objective?The?accuracy?and?clinical?application?value?to?investigate?and?contrast?of?lumbar?disc?herniation?in?patients?with?MRI?and?CT?in?diagnosis?of.?Methods?136?cases?of?lumbar?in?our?hospital?in?June?2014?during?2013?to?May?were?disc?herniation?patients,?were?treated?with?MRI?and?CT?examination,?then?the?results?were?compared?with?the?operation?confirmed?through?data,?in?order?to?observe?the?two?groups?of?protrusion?of?the?intervertebral?disc,?free?and?vacuum?like?and?detection?rate?of?intervertebral?disc?bulge?and?prolapse?the.?Results?The?detection?rate?was?100%?in?MRI?group?of?patients?with?protrusion?of?intervertebral?disc,?free?and?vacuum?like,?bulging?disc?and?prolapse?of?the?detection?rates?were?94.5%?and?91.6%,?were?significantly?higher?than?that?in?CT?group?positive?rate?(respectively?92.5%,?88.8%,?70.59%,?86.49%?and?83.33%),?comparing?the?two?groups?of?the?above?indexes,?has?obvious?the?difference?(P<0.05),?there?were?statistical?significance.?MRI?group,?the?total?positive?rate?was?97.73%,?significantly?higher?than?that?in?CT?group?(87.50%),?two?of?the?total?detection?rate?of?contrast?group,?with?significant?differences?(c2=2.114,?P<0.05).?Conclusions?For?the?patients?with?lumbar?disc?herniation,?using?MRI?with?advantages?of?high?detection?rate,?suitable?to?be?clinical?cases?diagnosed?in?CT?can?not,?the?diagnosis?of?this,?the?two?examination?methods?can?complement?each?other?in?clinical?diagnosis,?so?as?to?improve?the?detection?rate?of?lumbar?disc?herniation.
