腰椎间盘退行性病变诊断中CT与MRI的应用价值.docVIP

腰椎间盘退行性病变诊断中CT与MRI的应用价值 ［摘要］目的探讨腰椎间盘退行性病变诊断中CT与MRI的应用价值。方 法按照随机抽样的方式选取我院2013年2月~ 2016年4月接诊的确诊为腰 椎间盘退行性病变患者50例进行研究z纳入硏究对象临床资料完整,签署知情 同意书愿意配合本次研究,均实施CT与MRI诊断，比较两种方法诊断结果。结 果MRI诊断椎间盘突出、椎间盘狭窄、椎间盘突出时硬膜囊分界清晰率高于CT 诊断，其中中度与重度椎间盘突出时硬膜囊分界清晰率显著高于CT诊断 (P0.05 )，而CT诊断在椎间盘积气率、纤维环和髓核钙化率方面显著高于 MRI诊断(P0.05 )。结论腰椎间盘退行性病变采取CT诊断与MRI诊断均 有较好效果，但二者均有优劣,临床诊断建议结合二者联合诊断，以提高诊断符 合率,为诊治提供更高的价值。 [关键词]腰椎间盘退行性病变；CT ; MRI ;椎间盘突出；椎间盘狭窄 [Abstract] Objective To discuss the application value of CT and MRI in diagnosis of lumbar in tervertebra I disc dege nerati on diseases ( DDD ). Methods 50 DDD patients with complete clinical data and signed in formed consent who were treated in our hospital from February 2013 to April 2016 were selected by random sampling. The patients were given diag nosis by CT and MRI, and the diag no Stic results of the two methods were compared. Results The performanee of MRI was better than CT in diagnosis of protrusion of intervertebral disc , stenosis of intervertebral disc , and definition of dural sac in protrusion of intervertebral disc. In moderate and severe protrusion of intervertebral disc , the definition of dural sac by MRI was sigrdficantly higher than that of CT ( P0.05 ). The performanee of CT was significantly better than MRI in detection of pneumatosis rate of intervertebral disc , fibrous rings , and calcification of nucleus pulposus ( P0.05 ). Conclusion Both CT and MRI have favorable effects in diagnosis of DDD , and each has advantages and disadvantages. In clinical practice , it is recommended to combine these two methods to improve the diag no Stic accorda nee rate and provided higher diagnostic value. ［Key words］ Lumbar intervertebral disc degeneration diseases ; CT ; MRI; Protrusion of intervertebral disc ; Stenosis of intervertebral disc 腰椎属于人体运动系统枢纽，长期承担人体大部分重量的任务，故而极易出 现老化或损伤现象［1?4］。长期负荷或者外力损伤”使得中老年人群腰椎间盘纤 维环极易受损,造成髓核外出而压迫神经，诱发相应的腰腿疼痛症状［5］。总的 来说，腰椎间盘退行性病变会严重影响患者生活质量，需尽早诊断与处理。为了 进一步比较腰椎间盘退行性病变诊断中应用CT与MRI的价值,我院对确诊为 腰椎间盘退行性病变患者50例进行研究,现报道如下。 1资料与方法 1丄一般资