双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果  

Effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation

作　　者：刘君正 王楷[1] 朱海龙[1] 周祖德[1] 朱建桂 LIU Jun-zheng WANG Kai ZHU Hai-long ZHOU Zu-de ZHU Jian-gui(Department of Radiology,Anfu County Hospital of Traditional Chinese Medicine in Jiangxi Province,Anfu 343200,Chin)

机构地区：[1]江西省安福县中医院放射科,江西安福343200

出　　处：《中国当代医药》2017年第6期74-76,共3页China Modern Medicine

摘　　要：目的探讨双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果。方法选取2014年3月-2016年3月我院收治的86例腰椎间盘突出症患者,均采用双排螺旋CT检查和X线平片检查,比较两种检查方式的单一诊断价值和联合诊断价值,总结腰椎间盘突出症的影像学表现。结果CT检查可知,12例为腰间盘L_(3-4),46例为腰间盘L_(4-5),28例为腰间盘L_5~S_1;与手术证实结果比较,CT诊断为极外侧型、椎间孔型、旁侧型以及中央型的诊断符合率分别为85.7%、88.9%、96.6%、100.0%;X线检查可知,7例为腰间盘L_(3-4),19例为腰间盘L_(4-5),11例为腰间盘L_5~S_1;与术后结果比较,双排螺旋CT联合X线平片检查的诊断符合率为100.0%,CT检查为96.5%,X线平片检查为43.0%,联合检查的诊断符合率显著高于单一CT检查和X线平片检查,差异有统计学意义(P<0.05)。结论双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的诊断准确率明显高于单一诊断准确率,具有较高的临床应用价值。Objective To explore the effect of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation.Methods 86 cases of patients with lumbar disc herniation in our hospital from March 2014 to March 2016 were selected,who were used double-row spiral CT examination and X-ray examination.The diagnostic vaiue of single diagnosis and combined diagnosis of the two examinations were compared,and the imaging features of lumbar disc herniation were summarized.Results CT examination showed that there were 12 cases of lumbar disc L3-4,46 cases of lumbar disc L4-5 and 28 cases of lumbar disc L5-S1.Compared with the results of surgery,the coincidence rates of CT diagnosed as extralateral lumbar,pass,lateral and central type were 85.7%,88.9%,96.6%,100.0% respectively.X-ray examination showed that there were 7 cases of lumbar disc L3-4,19 cases of lumbar disc La-5 and 11 cases of lumbar disc L5-S1.Compared with the postoperative results,the coincidence rate of double-slice spiral CT and X-ray plain film examination was 100.0%,96.5% for CT examination and 43.0% for X-ray film examination,of which the combined diag- nosis was obviously higher than those of single CT and X-ray plain film,with significant difference （P〈0.05）.Conelusion The diagnostic accuracy of double-slice spiral CT combined with X-ray plain film in the diagnosis of lumbar disc herniation is significantly higher than those of the single diagnostic accuracy,with higher clinical application value.

关 键 词：腰椎间盘突出症 双排螺旋CT X线平片检查 诊断价值 

分 类 号：R681.57[医药卫生—骨科学]