腰椎间盘突出患者MRI和CT诊断应用效果研究.docVIP

腰椎间盘突出患者MRI和CT诊断应用效果研究 　　[摘要]目的 探讨和对比腰椎间盘突出症患者MRI与CT检查诊断的准确性以及临床应用价值。方法 选取该院在2013年6月―2014年5月期间收治的136例腰椎间盘突出病患者，均给予MRI和CT检查，然后将结果与经过手术得到证实的数据进行对比，以观察两组对椎间盘突出、游离及真空象以及椎间盘膨出和脱出的检出率。结果 MRI组患者椎间盘突出、游离及真空象的检出率均为100%，椎间盘膨出和脱出的检出率分别为94.5%和91.6%，均明显高于CT组检出率（分别为92.5%、88.8%、70.59%、86.49%和83.33%），该两组上述指标对比，具有明显的差异（P0.05），存在统计学意义。MRI组的总检出率为97.73%，亦明显高于CT组（87.50%），两组总检出率对比，其差异具有统计学意义（c2=2.114，P0.05）。结论 对于腰椎间盘突出症患者，采用MRI有着检出率高的优点，适合在CT不能够得到确诊的临床病例，结合进行诊断，该两种检查方法在临床诊断中可以互补，从而提高腰椎间盘突出症检出率。 　　[关键词]CT；MRI；腰椎间盘突出；椎间盘影像 　　[中图分类号]R681.53 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0198-02 　　[Abstract]Objective The accuracy and clinical application value to investigate and contrast of lumbar disc herniation in patients with MRI and CT in diagnosis of. Methods 136 cases of lumbar in our hospital in June 2014 during 2013 to May were disc herniation patients， were treated with MRI and CT examination， then the results were compared with the operation confirmed through data， in order to observe the two groups of protrusion of the intervertebral disc， free and vacuum like and detection rate of intervertebral disc bulge and prolapse the. Results The detection rate was 100% in MRI group of patients with protrusion of intervertebral disc， free and vacuum like， bulging disc and prolapse of the detection rates were 94.5% and 91.6%， were significantly higher than that in CT group positive rate （respectively 92.5%， 88.8%， 70.59%， 86.49% and 83.33%）， comparing the two groups of the above indexes， has obvious the difference （P0.05）， there were statistical significance. MRI group， the total positive rate was 97.73%， significantly higher than that in CT group （87.50%）， two of the total detection rate of contrast group， with significant differences （c2=2.114， P0.05）. Conclusions For the patients with lumbar disc herniation， using MRI with advantages of high detection rate， suitable to be clinical cases diagnosed in CT can not， the diagnosis of this， the two examination methods can complement each other in cli