多序列MRI联合CT多平面重组诊断腰椎压缩性骨折的价值  

Value of Multi-Sequence MRI Combined with CT Multi-Plane Reconstruction in the Diagnosis of Lumbar Compression Fractures

作　　者：齐玉晓 郭广春[2] QI Yuriao;GO Guangchun(Imaging Department,Xinye County Hospital of Traditionad Chinese Medicine,Nanyang 473500,China;Imaging Department,Nanyang Central Hospital,Nonyang 473000,China)

机构地区：[1]河南省新野县中医院影像科,河南南阳473500 [2]南阳市中心医院影像科,河南南阳473000

出　　处：《临床医学工程》2024年第7期771-772,共2页Clinical Medicine & Engineering

摘　　要：目的探讨多序列MRI联合CT多平面重组诊断腰椎压缩性骨折的价值。方法选择2019年10月至2023年10月我院收治的疑似腰椎压缩性骨折患者124例,均予以多序列MRI、CT多平面重组,以患者临床综合诊断结果为依据进行一致性分析,比较多序列MRI、CT多平面重组及联合检测诊断腰椎压缩性骨折的灵敏度、特异度、准确率。结果124例患者经临床综合诊断确定为腰椎压缩性骨折阳性99例,阴性25例;多序列MRI及CT多平面重组诊断结果与临床综合诊断结果一致性均较高(κ=0.847、0.826,P<0.001),多序列MRI联合CT多平面重组诊断结果与临床综合诊断结果几乎完全一致(κ=0.977,P<0.001);多序列MRI联合CT多平面重组灵敏度、特异度、准确率均显著高于单一多序列MRI、CT多平面重组(P<0.05)。结论多序列MRI联合CT多平面重组诊断腰椎压缩性骨折较单一诊断效果更好,应用价值高。Objective To explore the diagnostic value of multi-sequence MRI combined with CT multi-plane reconstruction in the diagnosis of lumbar compression fractures.Methods 124 patients with suspected lumbar compression fractures admitted to our hospital from October 2019 to October 2023 were selected and given multi-sequence MRI and CT multi-plane reconstruction.Based on the results of clinical comprehensive diagnosis,the consistency analysis was used to compare the sensitivity,specificity,and accuracy of multi-sequence MRI,CT multi-plane reconstruction,and combined detection in the diagnosis of lumbar compression fractures.Results Among 124 patients,99 cases were confirmed as positive and 25 cases as negative for lumbar compression fractures through clinical comprehensive diagnosis.The diagnostic results of multi-sequence MRI or CT multi-plane reconstruction had higher consistency with the clinical comprehensive diagnostic results(κ=0.847,0.826,P<0.001);The diagnostic results of multi-sequence MRI combined with CT multi-plane reconstruction had almost complete consistenty with the clinical comprehensive diagnostic results(κ=0.977,P<0.001).The sensitivity,specificity and accuracy of multi-sequence MRI combined with CT multi-plane reconstruction were significantly higher than those of single multi-sequence MRI or CT multi-plane reconstruction(P<0.05).Conclusions Multi-sequence MRI combined with CT multi-plane reconstruction has better effect in the diagnosis of lumbar compression fractures than single multi-sequence MRI or CT multi-plane reconstruction,with high application value.

关 键 词：多序列核磁共振成像 CT多平面重组 腰椎压缩性骨折 

分 类 号：R683[医药卫生—骨科学]