摘要
目的：分析 CT 和 MRI 在极外侧型腰椎间盘突出症中的诊断价值。方法前瞻性取2013年6月至2016年6月诊治的极外侧型腰椎间盘突出症62例患者资料进行分析，按照诊断时所用不同诊断方案分成两组，CT 组（31例）和 MRI 组（31例），对两组具体诊断价值进行对比。结果经检查，MRI 组阳性检出率（96.77%）高于 CT 组（74.19%），差异有统计学意义（ P <0.05）；且两组椎间盘突出各节段（L5- S1、L4- L5、L3- L4及 L2- L3段）检出率与疾病影像学征象（半圆形、不规则形、三角形及丘状）对比均无显著差异（ P >0.05）。结论极外侧型腰椎间盘突出者无论应用 MRI 或是 CT 诊断均能明确椎间盘突出具体节段和影像学征象，而 MRI 疾病阳性检出概率较 CT 高。
Abstract
Objective To analysis of the value of diagnosis of CT and magnetic resonance imaging(MRI)in the extreme lateral lumbar disc herniation. Methods Prospective in 62 cases of extreme lateral lumbar disc herniation patients data were analysed in June 2013 - June 2016 make a diagnosis and give treatment,used different diagnosis scheme was divided into two groups according to the diagnosis. The application of CT in the diagnosis of 31 cases as control group,the application of MRI in the diagnosis of 31 patients as observation group,specific diagnostic value for the two groups were compared. Results After inspection,MRI group of positive detection rate 96. 77% of the total probability was high-er than the control group 74. 19% ,compared with significant difference statistically significance( P < 0. 05). Each section and two groups of in-tervertebral disc herniation(L5 - S1 ,L4 - L5 ,L3 - L2 ,L3 - L4 )detection probability and imaging manifestations of disease(semicircle,irregu-lar shape,triangle and moundy)contrast had no obvious difference( P > 0. 05). Conclusion Type extreme lateral lumbar disc prominent in any application specific MRI or CT can clearly intervertebral disc herniation segment and radiographic signs,higher than CT and MRI disease positive detection probability.
NETL
NSTL
维普
万方数据