应用X线平片、CT及MRI在颈椎病诊断中的比较.docVIP

精品论文 参考文献 应用X线平片、CT及MRI在颈椎病诊断中的比较 (宜宾市珙县人民医院 四川 宜宾 644500) 【摘要】目的：比较分析临床应用X线平片、CT以及MRI治疗颈椎病的不同诊断效果。方法：选取我院2013年1月～2015年7月收治的颈椎病患者共120例，分别采用X线平片、CT以及MRI进行诊断，并对不同诊断方法的临床诊断结果进行对比分析。结果：MRI诊断出的患者颈椎曲度异常、椎间隙狭窄以及骨性椎管狭窄的百分比显著高于应用CT诊断的百分比（Pgt;0.05）；MRI诊断出的患者椎间隙狭窄、椎体后缘骨赘、骨性椎管狭窄、钩突增生以及小关节突增生的比率高于X线平片诊断的比率（Pgt;0.05）；MRI诊断出得特异性征象比率明显低于X线平片的诊断比率（Pgt;0.05）。结论：应用X线平片、CT以及MRI对颈椎病患者均能取得一定结果，但是MRI诊断的准确率更高，而联合三种方法进行颈椎病诊断可最大限度的提高确诊率，值得临床上进一步推广应用。 【关键词】 X线平片；CT；MRI；颈椎病 【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2015）35-0034-02 Application of X-ray plain film, CT and MRI in the diagnosis of cervical spondylosis Liu Kunxian Gong xien, yibin city peoples hospital Yibin city of sichuan province in 644500 Liu Kunxian, Gong xien, yibin city peoples hospital Yibin city of sichuan province in 644500 【Abstract】Objective comparative analysis of clinical application of X-ray plain film, CT and MRI for the treatment of cervical spondylosis different diagnosis effect. Selection methods from January 2013 to July 2015, a total of 120 patients with cervical spondylosis, respectively with X-ray plain film, CT and MRI diagnosis, and clinical diagnosis results of different diagnosis methods were analyzed. Results the MRI diagnosis of patients with abnormal curvature of cervical vertebrae, intervertebral disc stenosis as well as the percentage of the bony stenosis is significantly higher than the percentage of the application of CT (P gt; 0.05); MRI diagnosis of patients with narrow intervertebral disc, vertebral rear osteophyte, bony stenosis, hook sudden proliferation and hyperplasia of the small joints of the ratio higher than X-ray plain film in the diagnosis of ratio (P gt; 0.05); MRI diagnosis to specific signs was significantly lower than X-ray plain film of diagnostic rate (P gt; 0.05). Conclusion the application of X-ray plain film, CT and MRI in patients with cervical spondylosis can obtain a certain result, but the MRI diagnostic accuracy is higher, and the