磁共振成像3D序列与CT诊断腰椎关节突骨关节炎的对比研究  

A Comparative Study of Magnetic Resonance Imaging 3D Sequences and CT for the Diagnosis of Lumbar Facet Joint Osteoarthritis

作　　者：陈健 宋智 曾冰欣 简昊[1] 段细龙 周仁辉[1] 黄云 曾文琴 CHEN Jian;SONG Zhi;ZENG Bingxin;JIAN Hao;DUAN Xilong;ZHOU Renhui;HUANG Yun;ZENG Wenqin(Ji'an Central People's Hospital,Jiangxi Province,Ji'an 343000,China;不详)

机构地区：[1]江西省吉安市中心人民医院,江西吉安343000

出　　处：《中国医学创新》2023年第2期91-96,共6页Medical Innovation of China

摘　　要：目的:探讨磁共振成像(MRI)3D(MRI 3D)序列与计算机断层扫描(CT)诊断腰椎关节突骨关节炎(LFJOA)的价值。方法:选取2021年3月-2022年3月吉安市中心人民医院收治的75例LFJOA患者,均行CT、MRI、MRI 3D序列检查,分析CT、MRI、MRI 3D序列对LFJOA的影像学特征及诊断准确率;比较CT、MRI、MRI 3D序列对单节段、多节段病变、分级、LFJOA诊断结果。结果:MRI 3D序列对LFJOA的诊断准确率为96.00%,高于CT的85.33%、MRI的82.67%(P<0.05);MRI 3D序列在LFJOA单节段病变、多节段病变中的检出率均高于CT、MRI(P<0.05);MRI 3D序列对LFJOAⅠ级检出率高于CT、MRI(P<0.05);MRI 3D序列在LFJOA的软骨损失、滑膜增厚、软骨下骨囊变、关节腔积液、关节间隙狭窄、骨质增生、软骨下骨质水肿、小关节周围炎症检出率均高于CT、MRI,关节腔积气的检出率高于CT(P<0.05),MRI在LFJOA的软骨损失、关节腔积液、关节腔积气检出率均高于CT,软骨下骨囊变、骨质增生检出率均低于CT(P<0.05)。结论:MRI 3D序列与CT均可诊断LFJOA,MRI 3D序列诊断价值较高。Objective: To investigate the value of magnetic resonance imaging(MRI) 3D(MRI 3D) sequences versus computed tomography(CT) for the diagnosis of lumbar facet joint osteoarthritis(LFJOA). Method: Seventy-five patients with LFJOA admitted to Ji’an Central People’s Hospital from March 2021 to March 2022 were selected to undergo CT, MRI and MRI 3D sequence examination, and the imaging features and diagnostic accuracy of CT,MRI and MRI 3D sequences on LFJOA were analyzed;CT, MRI, and MRI 3D sequences were used to compare the diagnostic results of single-segment and multi-segment lesions, classification, and LFJOA. Result: The diagnostic accuracy of MRI 3D sequence for LFJOA was 96.00%, higher than 85.33% of CT and 82.67% of MRI(P<0.05). The detection rates of MRI 3D sequences were higher than those of CT and MRI in LFJOA single-segment lesions and multi-segment lesions(P<0.05). MRI 3D sequence had a higher detection rate than CT and MRI for LFJOA grade Ⅰ(P<0.05). The detection rates of cartilage loss, synovial thickening, subchondral bone cystic changes, joint cavity effusion, joint space narrowing, osteophytes, subchondral bone edema, and small periarticular inflammation of MRI 3D sequences were higher than those of CT and MRI in LFJOA, and the detection rates of joint cavity pneumatization were higher than those of CT(P<0.05). The detection rates of cartilage loss, articular effusion and articular air accumulation in MRI in LFJOA were higher than those in CT, and the detection rates of subchondral cystic degeneration and hyperplasia of bone were lower than those in CT(P<0.05). Conclusion: Both MRI 3D sequences and CT can diagnose LFJOA, and MRI 3D sequences have higher diagnostic value.

关 键 词：腰椎关节突骨关节炎 计算机断层扫描 磁共振成像 磁共振成像3D序列 

分 类 号：R684.3[医药卫生—骨科学]