首页|核磁共振成像联合多层螺旋CT对腰椎骨折的诊断价值

核磁共振成像联合多层螺旋CT对腰椎骨折的诊断价值

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目的 探讨采取核磁共振成像(MRI)联合多层螺旋CT诊断腰椎骨折的价值.方法 选择80例疑似腰椎骨折患者,采取MRI检查与多层螺旋CT检查.以手术病理结果为诊断金标准,对比单一与联合诊断腰椎骨折的效果及诊断效能.结果 手术病理证实,共6 9例腰椎骨折,其中2 4例为粉碎性骨折、3 4例为压缩性骨折、11例为骨折脱位.采取MRI联合CT检查的诊断灵敏度、特异度、准确度分别为97.10%、63.64%、92.50%;联合检查的灵敏度高于单一 MRI检查与单一 CT检查,P<0.05;联合检查的准确度高于单一 CT检查,P<0.05.结论 对腰椎骨折应用MRI联合多层螺旋CT检查能够提高诊断效能.
DiagnosticValue of Magnetic Resonance Imaging Combined with Multi-Slice Spiral CT in Lumbar Fracture
Objective:To explore the value of magnetic resonance imaging(MRI)combined with multi-slice spiral CT in the diagnosis of lumbar fractures.Methods:80 patients with suspected lumbar fractures were examined by MRI and multi-slice spiral CT.Taking the surgical and pathological results as the diagnostic gold standard,the effect and diagnostic efficiency of single and combined diagnosis of lumbar fractures were compared.Results:69 ca-ses of lumbar fractures were confirmed by surgery and pathology,including 24 cases of comminuted fractures,34 ca-ses of compressive fractures and 11 cases of fracture dislocation.The diagnostic sensitivity,specificity and accuracy of MRI combined with CT were 97.10%、63.64%and 92.50%,respectively.The sensitivity of MRI combined with CT was higher than that of MRI alone and CT alone,P<0.05.The accuracy of combined examination was higher than that of single CT examination,P<0.05.Conclusion:MRI combined with multi-slice spiral CT can improve the diagnostic efficiency of lumbar fracture.

Lumbar spine fractureMagnetic resonance imagingMultislice spiral CTDiagnosisEfficiency

夏福涛、罗凤斌

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贵州医科大学,贵州贵安561113

贵州医科大学附属医院分院罗甸县人民医院,贵州罗甸 550100

腰椎骨折 核磁共振成像 多层螺旋CT 诊断 效能

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(2)