青年型颈椎病的X线、CT、及MR的临床诊断研究  

Clinical Diagnosis of X-ray, CT and MR in Young Cervical Spondylosis

作　　者：艾延新 AI Yan-xin(Department of Radiology,Liangshan County People＇s Hospital,Liangshan,Shandong Province,272600 China)

机构地区：[1]梁山县人民医院放射科,山东梁山272600

出　　处：《中外医疗》2018年第30期176-178,共3页China & Foreign Medical Treatment

摘　　要：目的探讨青年型颈椎病的X线、CT、及MR的临床诊断价值。方法方便选取该院2015年1月—2017年1月收治的100例青年型颈椎病患者为研究对象,均行MR、CT、X线检查。结果 X线:检查发现40例椎体轻度骨质增生,其中20例钩椎关节骨质增生,20例椎体边缘骨质增生,2例椎体滑脱,6例韧带钙化,36例生理曲度变化;CT:检查发现X线检查结果以外,还观察到66例椎间盘突出,其中18例颈5～6间盘突出,48例颈6～7间盘突出,6例黄韧带肥厚,10例椎间孔狭窄,20例神经根肿胀,12例向左突出,14例向右突出,40例中间型;MR:检查发现X线检查结果以外,还观察到50例颈髓受压,椎间盘T2W1检查发现信号减低现象16例。MR诊断敏感性为96.30%(78/81),特异性为94.74%(18/19),准确度为96.00%(96/100);CT诊断敏感性为90.12%(73/81),特异性为84.21%(16/19),准确度为89.00%(89/100);X线诊断敏感性为85.19%(69/81),特异性为68.42%(13/19),准确度为82.00%(82/100);对比差异有统计学意义(X^2=4.28、5.39、7.14,P<0.05)。结论 MR、CT、X线检查存在各自的利弊,且都不能相互替代,因此要根据患者实际情况选择,更好的帮助患者。Objective To investigate the clinical diagnostic value of X-ray, CT and MR in young cervical spondylosis.Methods A total of 100 young patients with cervical spondylosis admitted to the hospital from January 2015 to January2017 were enrolled in the study. All patients underwent MR, CT and X-ray examination. Results X-ray： 40 cases of vertebral body mild hyperplasia were found, including 20 cases of hook-and-spine hyperosteogeny, 20 cases of vertebral body bone hyperplasia, 2 cases of vertebral spondylolisthesis, 6 cases of ligament calcification, 36 cases of physical curve changes; CT： In addition to the results of X-ray examination, 66 cases of intervertebral disc herniation were observed, of which 18 cases had 5-6 discs protruding, 48 cases had 6-7 discs, and 6 cases of ligamentum flavum was hypertrophy, 10 cases of intervertebral foramen stenosis, 20 cases of nerve root swelling, 12 cases protruding to the left, 14 cases protruding to the right, 40 cases of intermediate type; MR： examination revealed X-ray results, but also observed 50 cases of cervical spinal cord were compressed, and 16 cases of signal reduction were found in the intervertebral disc T2 W1. MR diagnostic sensitivity was 96.30%（78/81）, specificity was 94.74%（18/19）, accuracy was 96.00%（96/100）; CT diagnostic sensitivity was 90.12%（73/81）, specificity The accuracy was 84.21%（16/19）, 89.00%（89/100）; the diagnostic sensitivity of X-ray was85.19%（69/81）, the specificity was 68.42%（13/19）, and the accuracy was 82.00%.（82/100）; the contrast was significant and statistically significant（X^2=4.28, 5.39, 7.14, P〈0.05）. Conclusion MR, CT, and X-ray examinations have their own advantages and disadvantages, and they can not replace each other. Therefore, patients should be selected according to the actual situation of the patients to better help patients.

关 键 词：青年型 颈椎病 X线 CT MR 诊断价值 

分 类 号：R5[医药卫生—内科学]