首页|MRI联合MSCT诊断腰椎间盘突出症患者的应用价值分析

MRI联合MSCT诊断腰椎间盘突出症患者的应用价值分析

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目的:分析磁共振成像(MRI)联合多层螺旋CT(MSCT)在腰椎间盘突出症(LDH)患者诊断中的应用价值。方法:选择 2022年 6月—2024年 6月启东市人民医院收治的 70例疑似LDH患者为研究对象,以临床诊断结果为金标准,分析MRI联合MSCT在LDH诊断中的应用价值。结果:MRI对LDH征象中椎间盘变形、神经根受压、硬膜囊受压的检出率分别为 81。43%、61。43%、64。29%,均高于MSCT的 54。29%、34。29%、47。14%,对椎间盘积气、钙化的检出率分别为 41。43%、17。14%,均低于MSCT的 74。29%、47。14%,差异均有统计学意义(P<0。05)。MRI与MSCT联合诊断LDH的敏感度、准确度分别为 100。00%、98。57%,高于MRI单独诊断的 85。71%、87。14%,亦高于MSCT单独诊断的 87。76%、90。00%,差异均有统计学意义(P<0。05)。结论:MRI联合MSCT在LDH诊断中的应用价值显著,能提高诊断的敏感度及准确度,为临床提供更加全面的病理信息,优于单独使用MRI或MSCT,具有重要的临床意义。
Application Value Analysis of MRI Combined with MSCT in Diagnosis of Patients with Lumbar Disc Herniation
Objective:To analyze the value of magnetic resonance imaging(MRI)combined with multi-slice spiral CT(MSCT)in the diagnosis of patients with lumbar disc herniation(LDH).Methods:A total of 70 patients with suspected LDH admitted to Qidong People's Hospital from June 2022 to June 2024 were selected as the study objects.The clinical diagnosis results were used as the gold standard,the application value of MRI combined with MSCT in the diagnosis of LDH was analyzed.Results:The detection rates of disc deformation,nerve root compression and dural sac compression in MRI for LDH signs were 81.43%,61.43%and 64.29%,respectively,which were higher than 54.29%,34.29%and 47.14%in MSCT,and the detection rates of intervertebral disc gas and calcification were 41.43%and 17.14%,respectively,which were lower than 74.29%and 47.14%in MSCT,the differences were statistically significant(P<0.05).The sensitivity and accuracy of MRI and MSCT combined diagnosis of LDH were 100.00%and 98.57%,respectively,which were higher than 85.71%and 87.14%in MRI alone diagnosis and 87.76%and 90.00%in MSCT alone diagnosis,the differences were statistically significant(P<0.05).Conclusion:The application value of MRI combined with MSCT in the diagnosis of LDH is significant,which can improve the sensitivity and accuracy of diagnosis and provide more comprehensive pathological information for clinic,which is superior to MRI or MSCT alone,and has important clinical significance.

Lumbar disc herniationNuclear magnetic resonanceMulti-Slice spiral CTDisc deformationNerve root compressionDural sac compressionIntervertebral disc gasCalcification

黄海健、郭凯

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江苏省启东市人民医院/启东肝癌防治研究所/南通大学附属启东医院影像科,江苏 南通 226000

腰椎间盘突出症 核磁共振 多层螺旋CT 椎间盘变形 神经根受压 硬膜囊受压 椎间盘积气 钙化

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)