多层CT检查与X线检查及MRI检查在脊柱结核患者诊断中的应用价值  

Application value of multi-slice CT,X-ray and MRI in the diagnosis of spinal tuberculosis

作　　者：王春凯 WANG Chunkai(Department of MRI Room,the Third People's Hospital of Liaoyang City,Liaoyang,Liaoning,111000,China)

机构地区：[1]辽阳市第三人民医院核磁共振室,辽宁辽阳111000

出　　处：《当代医学》2023年第21期159-161,共3页Contemporary Medicine

基　　金：辽宁省自然科学基金(2018011151)。

摘　　要：目的分析多层CT检查与X线检查及MRI检查在脊柱结核患者诊断中的应用价值。方法选取本院2019年2月至2021年2月收治的85例脊柱结核患者作为研究对象,均接受多层CT检查、X线检查、MRI检查,比较3种检查方法对椎间盘受累、椎体破坏、椎管受累、死骨形成、椎旁脓肿的阳性检出率及脊柱结核病灶显示评分。结果多层CT、MRI检查对椎间盘受累、椎体破坏、椎管受累、死骨形成、椎旁脓肿的阳性检出率高于均X线检查,差异有统计学意义(P<0.05);MRI检查对椎间盘受累、椎体破坏、椎管受累、椎旁脓肿的阳性检出率高于多层CT检查,对死骨形成的阳性检出率低于多层CT检查,差异有统计学意义(P<0.05);多层CT、MRI检查椎间盘受累、椎体破坏、椎管受累、死骨形成、椎旁脓肿显示评分均高于X线检查,差异有统计学意义(P<0.05);MRI检查椎间盘受累、椎体破坏、椎管受累、椎旁脓肿显示评分均高于多层CT检查,死骨形成显示评分低于多层CT检查,差异有统计学意义(P<0.05)。结论与X线检查相比,多层CT与MRI检查对脊柱结核的诊断价值更高,可减少漏诊误诊事件,便于早期针对性治疗工作开展。Objective To analyze the application value of multi-slice CT,X-ray and MRI in the diagnosis of spinal tuberculosis.Methods A total of 85 patients with spinal tuberculosis admitted to our hospital from February 2019 to February 2021 were selected as the study subjects,they were all examined by multi-slice CT,X-ray and MRI.The positive detection rates and spinal tuberculosis focal display scores of intervertebral disc involvement,vertebral body destruction,spinal canal involvement,dead bone formation,paravertebral abscess were compared among the three methods.Results The positive rates of intervertebral disc involvement,vertebral body destruction,spinal canal involvement,dead bone formation,paravertebral abscess of multi-slice CT and MRI examination were higher than those of X-ray examination,and the differences were statistically significant(P<0.05);the positive detection rate of intervertebral disc involvement,vertebral body destruction,spinal canal involvement,paravertebral abscess of MRI examination were higher than those of multi-slice CT examination,and the positive detection rate of dead bone formation was lower than that of multi-slice CT examination,the differences were statistically significant(P<0.05).The scores of intervertebral disc involvement,vertebral body destruction,spinal canal involvement,dead bone formation,paravertebral abscess of multi-slice CT and MRI examination were higher than those in X-ray examination,the differences were statistically significant(P<0.05);the scores of intervertebral disc involvement,vertebral body destruction,spinal canal involvement,paravertebral abscess in MRI examination were higher than those in multi-slice CT examination,while the scores of dead bone formation was lower than that in multi-slice CT examination,the differences were statistically significant(P<0.05).Conclusion Compared with X-ray examination,multi-slice CT and MRI are more valuable in the diagnosis of spinal tuberculosis,which can reduce misdiagnosis and facilitate early targeted treatment.

关 键 词：脊柱结核 多层CT X线 MRI 阳性检出率 

分 类 号：R445.2[医药卫生—影像医学与核医学] R683.2[医药卫生—诊断学]