腰椎滑脱及椎弓峡部裂的X线平片与CT诊断分析  

作　　者：李月强 

机构地区：[1]山东聊城市东昌府区第二人民医院,252034

出　　处：《中国社区医师（医学专业）》2013年第7期224-224,共1页

摘　　要：目的:探讨X线平片及CT诊断在腰椎滑脱和椎弓峡部裂诊断中的作用,比较两种诊断方式的效果。方法:收治行CT检查椎体滑脱与椎弓根峡部裂的患者180例,同期对行X线片检查椎体滑脱与椎弓根峡部裂患者420例临床资料进行分析。比较两种诊断方式对于腰椎滑脱及椎弓峡部裂的检出率。结果:X线片检出椎体滑脱的概率为96.6%,高于CT检查检出率(85.6%);检出椎弓峡部裂的概率为86.0%,低于CT检查检出率(97.6%),且差异具有统计学意义(P<0.05)。结论:对于椎弓峡部裂的检查,CT检查结果优于X线片,对于腰椎滑脱的观察,X线更为直观,因此,可将两种诊断方式结合,提高椎体滑脱及、椎弓峡部裂的检出率。Objective：The purpose of this arti- cle is to discuss the effect of X - ray and CT in the diagnosis of spondylolisthesis and spondylolysis, and compare the effect of two diagnostic methods. Method ： 180 patients has taken the CT examination with spondylo- ｜isthesis or spondylolysis, from November 2009 to November 2012 were chosen; and 420 patients has taken the X -ray examina- tion with spondylolisthesis or spondylolysis were chosen, from November 2007 to No- vember 2012. The chosen patients were over the age of 18. Result The relevance ratio of spondylolisthesis of X - ray examination, is higher than that of CT examination, and rel- evance ratio spondylolysis of X - ray, is low- er than that of CT examination, and the difference was statistically significant （ P 〈0. 05 ）. Conclusion ： X - ray examination is better at the diagnosis of spondylolisthesis, and CT examination is better at the diagno- sis of spondylolysis. The two diagnostic methods can be combined to improve the relevance ratio of spondylolisthesis and spondylolysis.

关 键 词：X线平片 CT诊断腰椎滑脱椎弓峡部裂 

分 类 号：R681.5[医药卫生—骨科学]