首页|64排螺旋CT在神经根型颈椎病诊断中的应用价值

64排螺旋CT在神经根型颈椎病诊断中的应用价值

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目的:探讨64排螺旋CT在神经根型颈椎病诊断中的应用价值.方法:回顾性收集2020年1月~2022年10月在北京怀柔医院影像科就诊的75例疑似神经根型颈椎病患者的临床资料,所有患者治疗前均进行常规核磁共振(MRI)检查、64排螺旋CT检查,统计检查结果,以病理学检查结果为金标准,分别比较两种扫描方式的诊断准确率以及影像征象.结果:病理确诊结果显示,75例患者中确诊为神经根型颈椎病患者为70例,其中经MRI检查评估符合率为85.71%(60/70);经64排螺旋CT检查评估符合率为98.57%(69/70),64排螺旋CT符合率明显高于MRI(P<0.05);经Kappa一致性分析,两种检查方式灵敏度、特异度均较高,64排螺旋CT Kappa值0.646,MR Kappa值0.262,故64排螺旋CT诊断价值较MRI更优;比较二者影像征象,64排螺旋CT对椎间孔狭窄、椎小关节骨质增生、椎间盘钙化、积气检出准确率较MRI明显高(P<0.05).结论:64排螺旋CT对神经根型颈椎病具有较高的诊断价值,能较为清晰的反映病变颈椎部位的影像征象.
The Application Value of 64-Row Spiral CT in the Diagnosis of Radiculopathy
Objective:To investigate the value of 64-row spiral CT in the diagnosis of cervical spondylosis.Methods:Retrospective collection during January 2020 to October 2022 in Beijing huairou hospital imaging department of clinical data of patients with suspected cervical spondylosis,all patients before treatment for conventional MRI(MRI),64-row of spiral CT examination,statistical examination results,pathological examination results as the gold standard,compare the diagnostic accuracy of two kinds of scanning and imaging signs.Results:The confirmed pathological diagnosis showed that,of the 75 patients with confirmed radiculopathy were 70,among them,the compliance rate assessed by MRI examination was 85.71%(60/70);The 64-row spiral CT compliance assessment rate was 98.57%(69/70),the coincidence rate of 64-row spiral CT was significantly higher than that of MRI(P<0.05);After the Kappa consistency analysis,both examination methods have high sensitivity and specificity,the 64-row helix CT Kappa value of 0.646,MR Kappa value of 0.262,therefore,the diagnostic value of 64-row spiral CT is better than that of MRI;Comparing the two images,the accuracy of 64-row spiral CT for foraminal stenosis,ostehyperplasia,intervertebral disc calcification and gas accumulation was significantly higher than that of MRI(P<0.05).Conclusion:64-row spiral CT has a high diagnostic value for cervical radiculopathy,which can clearly reflect the imaging signs of the diseased cervical spine.

64-row spiral CTcervical spondylosisdiagnosis

陶佳男

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北京怀柔医院影像科 (北京 101400)

64排螺旋CT 神经根型颈椎病 诊断

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)