X线平片、CT及MRI在脊椎转移瘤中的诊断应用对比分析  

Comparative Analysis of X-ray Plain Film,CT and MRI in the Diagnosis of Spinal Metastases

作　　者：方朋 FANG Peng(Department of Radiology,Henan Traditional Chinese Medicine Hospital,Zhengzhou,450002,China)

机构地区：[1]河南省中医院放射科,郑州450002

出　　处：《黑龙江医学》2019年第4期392-393,共2页Heilongjiang Medical Journal

摘　　要：目的对比分析在脊椎转移瘤中应用X线平片、CT及MRI的诊断价值。方法选取在河南省中医院接受诊治的138例脊椎转移瘤患者作为研究对象,运用系统抽样法将其分为A、B、C三组,每组46例。A组给予X线平片进行诊断,B组给予CT进行诊断,C组给予MRI进行诊断,对三组患者的诊断效果进行观察分析。结果对三组患者的检出率、误诊率和漏诊率进行观察分析发现,C组检出率最高,其次为B组,最低为A组,两两组间比较,差异有统计学意义(P<0.05)。观察三组患者诊断敏感性和特异性发现,C组的敏感性和特异性最高,其次为B组,最低为A组,两两组间比较,差异无统计学意义(P>0.05)。结论 MRI在脊椎转移瘤中的诊断检出最高,其次为CT,最差为X线平片。Objective To compare and analyze the diagnostic value of X-ray plain film,CT and MRI in spinal metastases.Methods 138 patients with spinal metastases were selected and divided into three groups by systematic sampling,with 46 cases in each group.Group A was diagnosed by X-ray plain film,group B by CT and group C by MRI.The results of three groups were observed and analyzed.Results The detection rate,misdiagnosis rate and missed diagnosis rate of the three groups were observed and analyzed.It was found that the detection rate of group C was the highest,followed by group B,and the lowest was group A.The difference between groups was significant(P<0.05).The diagnostic sensitivity and specificity of the three groups were observed.The sensitivity and specificity of group C were the highest,group B was the second,and group A was the lowest.Compared with each other,there was no significant difference between two groups(P>0.05).Conclusion MRI has the highest diagnostic rate in spinal metastases,followed by X-ray plain film for CT.

关 键 词：X线平片 CT MRI 脊椎转移瘤 诊断价值 

分 类 号：R739.42[医药卫生—肿瘤]