腰椎间盘突出症患者CT与MRI影像学特征及诊断价值分析  

Imaging features and diagnostic value analysis of CT and MRI in patients with lumbar intervertebral disc herniation

作　　者：高杨 姚冀[1] 周俊杰[1] 徐海侠[1] Gao Yang;Yao Ji;Zhou Junjie;Xu Haixia(Department of Radiology,the Central Hospital of Changsha City,Hunan Changsha 410004)

机构地区：[1]长沙市中心医院放射科

出　　处：《中国社区医师》2020年第1期110-111,共2页Chinese Community Doctors

摘　　要：目的:探讨腰椎间盘突出症患者CT与MRI影像学特征及诊断价值。方法:2017年2月-2019年5月收治腰椎间盘突出症患者300例,术前均行CT和MRI检查。比较两者诊断准确率及各征象检出率。结果:MRI检查椎间盘脱出、椎间盘突出、椎间盘膨出、椎间盘游离等检出率均明显高于CT,差异有统计学意义(P<0.05);MRI检出椎间盘变性、神经根受压、硬膜囊受压、脊髓变形等腰椎间盘突出征象检出率均优于CT,差异有统计学意义(P<0.05)。结论:腰椎间盘突出症患者CT与MRI诊断价值各具优势,在影像学特征表现上各有特长,但MRI整体诊断率更高。Objective:To investigate the imaging features and diagnostic value of CT and MRI in patients with lumbar intervertebral disc herniation.Methods:From February 2017 to May 2019,300 patients with lumbar intervertebral disc herniation were enrolled,and they were all examined by CT and MRI before operation.The diagnostic accuracy and the detection rate of each signs were compared.Results:The detection rate of herniated disc,herniated disk,intervertebral disc bulge and intervertebral disc free etc of MRI were significantly higher than CT,and the differences were statistically significant(P<0.05);the detection rate of each signs of lumbar disc herniation such as intervertebral disc degeneration,root compression,dural capsule compression and spinal cord deformation etc of MRI were better than CT,and the differences were statistically significant(P<0.05).Conclusion:CT and MRI have their own advantages in diagnosis in patients with lumbar intervertebral disc herniation,and each has its own specialty in imaging features,but the overall diagnostic rate of MRI is higher.

关 键 词：腰椎间盘突出症 CT MRI 影像学特征 诊断价值 

分 类 号：R681.5[医药卫生—骨科学] R445.2[医药卫生—外科学] R816.8[医药卫生—临床医学]