CT多平面三维重建技术和MRI扫描对腰椎间盘突出症诊断准确性的对比分析  

Comparative Analysis of Diagnostic Accuracy of CT Multiplanar 3D Reconstruction Technology and MRI Scanning for Lumbar Disc Herniation

作　　者：李学洪[1] 佟恒博 刘敏[1] LI Xuehong;TONG Hengbo;LIU Min(Department of Radiology,Qijiang District People’s Hospital of Chongqing,Chongqing 401420,P.R.China;Department of Pain,Qijiang District People’s Hospital of Chongqing,Chongqing 401420,P.R.China)

机构地区：[1]重庆市綦江区人民医院放射科,重庆401420 [2]重庆市綦江区人民医院疼痛科,重庆401420

出　　处：《影像科学与光化学》2020年第4期713-717,共5页Imaging Science and Photochemistry

基　　金：重庆市綦江区卫计委科技攻关项目(QJ2017049)。

摘　　要：本文对电子计算机断层扫描(CT)多平面三维重建(MPR)技术和磁共振成像(MRI)扫描对腰椎间盘突出症(LDH)的诊断准确性进行了对比分析。选取LDH患者120例为研究对象,依据随机数字表法分为CT组和MRI组,每组60例,CT组给予CT-MPR扫描,MRI组给予MRI扫描,以手术病理为对照,比较两组对LDH的诊断情况。结果显示,CT组和MRI组对椎间盘突出程度、突出部位、Schmod结节和神经根受压、硬膜囊受压、真空现象等检出率基本相同(P〉0.05);CT组和MRI组对LDH的诊断准确率分别为96.67%、100.00%(P〉0.05)。证实CT-MPR和MRI均可有效评估LDH的椎间盘突出程度、部位及病情,并具有良好的诊断准确性。The comparative analysis of diagnostic accuracy of computerized tomography(CT)multiplanar 3D reconstruction(MPR)technology and magnetic resonance imaging(MRI)scanning for lumbar disc herniation(LDH)in this study.120 patients with LDH were selected as the subjects of this study.According to the random number table method,120 patients were divided into group CT and group MRI,60 cases in each group,group CT was given CT-MPR scan,MRI group was given MRI scan,and the operation pathology was compared,the diagnosis of LDH was compared in the two groups.The results showed that the detection rates of the location,degree,Schmod nodule of disc herniation and nerve root compression,dural sac compression,and vacuum phenomenon in group CT and group MRI were basically the same(P>0.05).The diagnostic accuracy to LDH of CT and MRI groups were 96.67%and 100%respectively(P>0.05).This study confirms that,CT-MPR and MRI can effectively evaluate the degree,location and condition of LDH disc herniation,and it has a good diagnostic accuracy.

关 键 词：电子计算机断层扫描 多平面三维重建 磁共振成像 腰椎间盘突出症 诊断准确性 

分 类 号：R445.2[医药卫生—影像医学与核医学] R816.8[医药卫生—诊断学] R681.53[医药卫生—临床医学]