核磁共振成像联合多层螺旋CT对腰椎骨折的诊断价值
DiagnosticValue of Magnetic Resonance Imaging Combined with Multi-Slice Spiral CT in Lumbar Fracture
夏福涛 1罗凤斌2
作者信息
- 1. 贵州医科大学,贵州贵安561113
- 2. 贵州医科大学附属医院分院罗甸县人民医院,贵州罗甸 550100
- 折叠
摘要
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.
Abstract
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.
关键词
腰椎骨折/核磁共振成像/多层螺旋CT/诊断/效能Key words
Lumbar spine fracture/Magnetic resonance imaging/Multislice spiral CT/Diagnosis/Efficiency引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据