应用X线平片CT及MRI在颈椎病诊断中对比研究.docVIP

应用X线平片CT及MRI在颈椎病诊断中对比研究 　　[摘要] 目的 探讨X线平片、CT、MRI检查在颈椎病诊断中的作用。 方法 选取2011年9月～2013年5月我院收治的颈椎病患者57 例，所有患者皆进行X线平片、CT、MRI检查。 结果 对颈椎病的原因分析，MRI对钩突增生、颈椎曲度异常、椎间隙狭窄的诊断率高，显著高于其他两种方法，差异有统计学意义（P0.05）。而CT对钩突增生、小关节突增生、椎体后缘骨赘形成、骨性椎管狭窄的诊断率高于X线平片（P0.05）。而对颈椎曲度异常、椎间隙狭窄诊断率低于X线平片（P0.05）。X线平片可以观察到颈椎双边征及椎间孔狭窄。而MRI则对纤维性椎管狭窄，伴脊髓水肿、变性，寰枢椎半脱位有独特的征象。 结论 综合X线平片、CT、MRI可提高颈椎病的早期诊断和定性诊断的水平。 　　[关键词] X线平片；CT；MRI；颈椎病；诊断 　　[中图分类号] R445 [文献标识码] B [文章编号] 2095-0616（2013）24-113-02 　　Comparative study on the application of X-ray， CT and MRI in the diagnosis of cervical spondylosis 　　REN Pengcheng 　　Room CT， Huizhou Hospital of Traditional Chinese Medicine， Huizhou 516001， China 　　[Abstract] Objective To explore the effect of X-ray， CT and MRI in the diagnosis of cervical spondylosis. Methods 57 patients with cervical spondylosis were all collected from 2011 September to 2013 May in our hospital， who were examined with X-ray， CT and MRI examination. Results The analysis of causes for cervical spondylosis showed that the diagnosis rate of MRI on uncinate hyperplasia， cervical curvature abnormality， intervertebral space stenosisrate was significantly higher than the other two methods， the difference was statistically significan（P0.05）. While the diagnosis rate of CT on uncinate hyperplasia， facet hypertrophy， osteophyte formation，bony canalstenosis was higher than X-ray（P0.05）. The diagnosis rate of CT on abnormal cervical curvature and intervertebral space stenosisrate was lower than X-ray（P0.05）. X-ray could observe bilateralsyndrome and cervical intervertebral foramen stenosis， while the MRI had unique features on fibrous canal stenosis with spinal cord edema， degeneration， atlantoaxial subluxation. Conclusion Integrated X-ray， CT and MRI can improve the early diagnosis and qualitative diagnosis level of cervical spondylosis. 　　[Key words] X-ray； CT； MRI； Cervical disease； Diagnosis 　　临床上，长期伏案，慢性劳损，椎体、椎间盘及其附属结构退变等原因造成的颈椎病几年来发病率有增加趋势，其多发生于中老年人，但近年来数据显示青少年发病明显增加[1-2]。本研究对X线平片、CT、MRI检查在颈椎病诊断和治疗中的作用进行研