MRI和CT在腰椎间盘突出诊断中的应用效果比较  

Application Effect Comparison of MRI and CT in Diagnosis of Lumbar Disc Herniation

作　　者：华伟伟 葛天明[1] HUA Wei-wei;GE Tian-ming(Radiology Department,Jiading District Hospital of Traditional Chinese Medicine of Shanghai,Shanghai 201800)

机构地区：[1]上海市嘉定区中医医院放射科

出　　处：《智慧健康》2019年第36期5-6,共2页Smart Healthcare

摘　　要：目的观察对腰椎间盘突出症患者分别采取MRI、CT影像学手段检查的临床诊断指导价值。方法我院2017年6月至2018年6月诊疗腰椎间盘突出症患者80例为分析对象,所有患者同时接受MRI、CT手段检查,并与手术病理检查数据进行比较,对影像学检查所得数据进行回顾性分析以比较MRI、CT对腰椎间盘突出症患者的临床诊断价值。结果对腰椎间盘突出检查阳性率方面MRI显著高于CT检查阳性率,差异存在统计学意义(P<0.05);在各种征象方面,MRI在椎间盘变性、硬膜囊受压、脊髓变形方面有优越性,CT在钙化、椎间盘积气有优越性,均有统计学意义(P<0.05)。结论对腰椎间盘突出患者用MRI、CT检查各有优劣性,需要综合考虑到患者临床症状、体征、经济承受能力等方面合理选择检查方式,保障患者的生活质量和身体健康。Objective to observe clinical instructive value of MRI and CT in diagnosis of lumbar disc herniation.Methods treat 80 cases lumbar disc herniation patients diagnosed and treated in our hospital from June 2017 to June 2018 as analysis objects.Examined them with MRI and CT at the same time.Compare results with data of surgical pathology.Review and analyze data of imaging examination,and compare clinical diagnostic value of MRI and CT for lumbar disc herniation.Results MRI showed significantly higher positive rate than CT in lumbar disc herniation,difference was statistical significance,(P<0.05);MRI was superior in signs of disc degeneration,dural sac compression,and spinal cord deformation;CT was superior in calcification and disc gas accumulation,with statistical significance,(P<0.05).Conclusion MRI and CT examination has advantages and disadvantages on lumbar disc herniation patients.It is necessary to choose reasonable examination method based on clinical symptoms,physical signs,economic capacity and other aspects of patients,to ensure their life quality and physical health.

关 键 词：MRI CT 腰椎间盘突出 

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