MSCT及MRI对胸腰椎爆裂型骨折患者的诊断价值分析  

Analysis of Diagnostic Value of MSCT and MRI in Thoracolumbar Burst Fracture Patients

作　　者：王维美 WANG Weimei(Department of Imaging,Linshu People’s Hospital,Linyi 276700,China)

机构地区：[1]山东省临沭县人民医院影像科,山东临沂276700

出　　处：《中国伤残医学》2024年第18期105-108,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析多层螺旋CT(MSCT)及磁共振成像(MRI)在胸腰椎爆裂型骨折中的诊断价值。方法:选择临沭县人民医院2022年3月-2024年3月收治的80例疑似胸腰椎爆裂型骨折患者为研究对象,入院均采取MSCT及MRI检查,以手术病理学为金标准,分析MSCT及MRI检查的诊断效能。结果:80例疑似胸腰椎爆裂型骨折患者中,手术病理学诊断确诊胸腰椎爆裂型骨折67例。MSCT联合MRI对胸腰椎爆裂型骨折的诊断灵敏度、准确度和阴性预测率均高于单一MSCT、MRI检查,差异有统计学意义(P<0.05)。MSCT、MRI检查对椎体高度改变、椎管狭窄及椎管血肿的诊断符合率相同,MRI检查诊断韧带损伤、脊髓损伤及椎间盘损伤的符合率均高于MSCT检查,差异均有统计学意义(P<0.05)。结论:MSCT及MRI可用于诊断胸腰椎爆裂型骨折,二者联合应用的诊断准确度与灵敏度更高,MRI对韧带损伤、脊髓损伤及椎间盘损伤有较高的诊断价值。Objective:To analyze the clinical value of multi-slice spiral CT(MSCT)and magnetic resonance imaging(MRI)in thoracolumbar burst fractures.Methods:A total of 80 patients with suspected thoracolumbar burst fractures admitted to Linshu County People’s Hospital from March 2022 to March 2024 were selected as the study subjects.MSCT and MRI examinations were performed in all patients admitted to hospital.The diagnostic efficacy of MSCT and MRI examinations were analyzed using surgical pathology as the gold standard.Results:Among the 80 suspected thoracolumbar burst fractures,67 cases were diagnosed as thoracolumbar burst fractures by surgical pathology.The diagnostic sensitivity,accuracy and negative prediction rate of thoracolumbar burst fractures by MSCT+MRI were higher than those by MSCT and MRI,the difference was statistically significant(P<0.05).The coincidence rates of MSCT and MRI were the same in the diagnosis of vertebral height change,spinal stenosis and spinal hematomas.The coincidence rates of MRI in the diagnosis of ligament injury,spinal cord injury and disc injury were higher than those of MSCT,with statistical significance(P<0.05).Conclusion:MSCT and MRI can be used in the diagnosis of thoracolumbar burst fracture,the diagnostic accuracy and sensitivity of the combined application of the two methods are higher,MRI has high diagnostic value for ligament injury,spinal cord injury and intervertebral disc injury.

关 键 词：胸腰椎爆裂型骨折 多层螺旋CT 磁共振成像 诊断 

分 类 号：R683[医药卫生—骨科学]