CT与磁共振成像诊断脊柱结核患者的临床价值研究  

Clinical Value of CT and Magnetic Resonance Imaging in the Diagnosis of Spinal Tuberculosis Patients

作　　者：谢智恩[1] 黎惠如[1] 宋敏[1] 方伟军[1] 刘曾维 曹湛钊 XIE Zhi-en;LI Hui-ru;SONG-Min;FANG Wei-jun;LIU Zeng-wei;CAO Zhan-zhao(Department of Radiology,Guangzhou Thoracic Hospital,Guangzhou 510095,Guangdong Province,China)

机构地区：[1]广州市胸科医院放射科,广东广州510095

出　　处：《中国CT和MRI杂志》2021年第9期167-169,共3页Chinese Journal of CT and MRI

基　　金：广东省医学科学技术研究基金项目(20171026201447100)。

摘　　要：目的探究CT与磁共振成像对脊柱结核临床诊断价值研究。方法按奇、偶数字将脊柱结核患者分为两组,每组34例。CT组:该组患者通过电子计算机断层扫描诊断脊柱结核;MRI组:该组患者通过磁共振成像诊断脊柱结核。CT组和MRI组患者在一般资料上无差异。两组患者均通过手术病理得出最终结果。通过分析T组和MRI组患者病变部位、脊柱结核病变情况、诊断价值、典型病例分析等情况的差异性来探究CT与磁共振成像诊断脊柱结核患者的临床价值研究。结果CT组患者检测出胸椎结核15人、腰骶椎结核6人、腰椎结核11人,CT组与最终诊断结果相比较,差异无统计学意义(P>0.05);MRI组患者检测出胸椎结核9人、腰骶椎结核8人、腰椎结核15人,MRI组与最终诊断结果相比较,人数差异较小(P>0.05)。CT组患者脊柱结核病变情况分别为骨质破坏7人、椎旁脓肿6人、韧带下播散12人、椎间盘受累8人,CT组与最终诊断结果相比较,人数差异较多(P<0.05),MRI组患者脊柱结核病变情况分别为椎间盘受累9人、韧带下播散10人、椎旁脓肿17人、骨质破坏5人,MRI组与最终诊断结果相比较,人数差异较小(P>0.05)。MRI组检测诊断特异性为91.52%、准确率为82.15%,CT组特异性为34.08%、准确率为56.84%,MRI组检测诊断价值显著比CT组高(P<0.05),CT组检测诊断灵敏度为80.26%,MRI组检测诊断灵敏度为81.26%,CT组与MRI组相比较,灵敏度数值相近(P>0.05)。结论CT与MRI诊断脊柱结核均有一定的临床价值,但MRI在早期脊柱结核的诊断中更具优势。Objective To explore the value of CT and magnetic resonance imaging in the clinical diagnosis of spinal tuberculosis.Methods Patients with spinal tuberculosis were divided into two groups according to odd and even numbers,with 66 cases in each group.CT group:this group of patients diagnosed spinal tuberculosis by computed tomography;MRI group:this group of patients diagnosed spinal tuberculosis by magnetic resonance imaging.There were no differences in general data between the CT group and the MRI group.The final results were obtained by surgical pathology in both groups.To investigate the clinical value of CT and MRI in diagnosing spinal tuberculosis patients by analyzing the differences in lesions,spinal tuberculosis,diagnostic value,and typical case analysis in patients in the T and MRI groups.Results In the CT group,15 patients with thoracic tuberculosis,6 with lumbar vertebrae tuberculosis,and 11 with lumbar vertebra tuberculosis were detected.There was no significant difference between the CT group and the final diagnosis(P>0.05).The MRI group detected thoracic tuberculosis.There were 8 people with lumbar vertebrae tuberculosis and 15 patients with lumbar vertebrae tuberculosis.The difference between the MRI group and the final diagnosis was small(P>0.05).The CT lesions in the CT group were 7 bone destruction,6 abscesses,12 ligaments,and 8 patients.The CT group was more likely to be compared with the final diagnosis(P<0.05),the MRI group of patients with spinal tuberculosis were affected by 9 people,10 ligaments,17 abscesses,5 bone destruction,MRI group compared with the final diagnosis,the difference in the number of people is small(P>0.05).The MRI group was diagnosed as specific(91.52%),accuracy(82.15%),CT group specificity(34.08%),and accuracy rate(56.84%).The diagnostic value of MRI group was significantly higher than that of CT group(P<0.05).The CT group was diagnosed as sensitivity(80.26%),and the MRI group was diagnosed as sensitivity(81.26%).Compared with the MRI group,the sensitivity values were si

关 键 词：CT 诊断 磁共振成像 脊柱结核 

分 类 号：R445.3[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]