腰椎滑脱及椎弓峡部裂的X线与CT诊断探讨  

X-ray and CT Diagnosis of Spondylolisthesis and Spondylolysis of Vertebral Arch

作　　者：杜庆民 DU Qing-min(OtorhinolalTngology Department,the People＇s Hospital of Linyi,Linyi,Shandong Province,276000 Chin)

机构地区：[1]临沂市兰山区爱国卫生运动委员会办公室,山东临沂276000

出　　处：《系统医学》2018年第3期84-85,88,共3页Systems Medicine

摘　　要：目的探究腰椎滑脱及椎弓峡部裂分别实行X线及CT诊断的临床效果。方法将2014年3月—2016年3月间收治的86例腰椎滑脱及椎弓峡部裂患者作为研究对象,按随机数字表法分为两组,各43例;对照组患者给予X线诊断,观察组患者给予CT诊断,对比两组患者的腰椎滑脱检出率及椎弓峡部裂检出率。结果观察组腰椎滑脱检出率为90.70%,明显高于对照组的48.84%,两组数据差异有统计学意义(χ~2=12.357,P<0.05)。观察组椎弓峡部裂检出率为88.37%,明显高于对照组的53.49%,两组数据差异有统计学意义(χ~2=12.854,P<0.05)。在患者满意度上,观察组为93.02%,明显高于对照组的65.12%,两组数据差异有统计学意义(χ~2=12.762,P<0.05)。结论腰椎滑脱患者实行X线诊断检出率高于CT诊断,而椎弓峡部裂患者实行CT诊断检出率高于X线诊断。因此临床诊断中结合X线诊断及CT诊断二者间优势对于提高其检出率具有不可比拟的积极作用。Objective This paper tries to investigate the clinical effects of X-ray and CT diagnosis on spondylolisthesis and spondylolysis of vertebral arch respectively. Methods 86 cases of lumbar spondylolisthesis and spondylolysis were selected from March 2014 to March 2016. The patients in the control group were diagnosed by X-ray, the patients in the observation group were diagnosed by CT, and the detection rate of lumbar spondylolisthesis and spondylolysis were compared between the two groups. Results The detection rate of lumbar spondylolisthesis in the observation group was90.70%, which was significantly higher than that in the control group（48.84%）. The difference between the two groups was statistically significant（cm^2=12.357, P〈0.05）. The detection rate of isthmic fissure in the observation group was88.37%, which was significantly higher than that in the control group（53.49%）. The difference between the two groups was statistically significant（cm^2=12.854, P〈0.05）. the patients＇ satisfaction in the observation group was 93.02%, which was significantly higher than that in the control group（65.12%）. The difference between the two groups was statistically significant（cm^2=12.762,P〈0.05）. Conclusion X-ray diagnosis of lumbar spondylolisthesis diagnosis rate is higher than the CT diagnosis, and the spondyloschisis patients with CT diagnosis rate is higher than the X-ray diagnosis. Therefore,clinical diagnosis combined with X-ray diagnosis and CT diagnosis of the advantages between the two for improving the detection rate has an unparalleled positive effect.

关 键 词：腰椎滑脱及椎弓峡部裂 X线诊断 CT诊断 

分 类 号：R681.5[医药卫生—骨科学]