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颈椎病DR/CT/MRI影像学比较诊断价值的分析

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目的:比较和分析颈椎病三种不同检查方法的影像学特征,以提高对其诊断的准确性。方法:回顾性分析160例颈椎病患者的DR、CT和MRI的影像学及相关临床资料,比较不同影像检查方法的诊断价值。结果:对脊髓型、神经根型、交感神经型、椎动脉型及混合型颈椎病的CT检查敏感性优于DR检查;对颈椎椎管狭窄、椎小关节增生硬化和后纵韧带骨化,CT显示优于MRI检查;MRI对脊髓受压评估和颈椎间盘突出的显示优于CT检查。对颈椎型颈椎病的DR检查敏感性高于CT及MRI检查。结论:DR、CT及MRI检查均对颈椎病的病变显示具有较好的敏感性和准确性,可将三种检查方法联合应用,综合分析临床资料及影像学表现可提高颈椎病的早期诊断和定性诊断的水平,以便更好的指导临床治疗。
The Comparison imaging features of cervical spondilosis applied DR、CT and MRI
Objective:To study the imaging features of cervical spondylosis and to compare them with the digital radiography,computed tomography and magnetic resonance imaging. in order to improve the diagnostic accuracy. Methods: Retrospectively summarized and compared with imaging findings in 160 patients.Results:Compared with different pattern of cervical spondilosis,sensitivity and accurate used in CT superior to DR in the cervical spinal cord type,nerve root type,sympathetic nerve type,vertebral artery type and mixed type,CT superior to MRI in cervical vertibra narrow and degeneration.But MRI showed cervical cord injury and intervertibral disc herniation batter than CT.At the cervical vertebra type,sensitivity of DR is superioring to CT and MRI.Conclusion: Combination of DR、CT and MRI is the best imaging inspection for cervical spondilosis at present.

cervical spondilosispatternimagingcomparisonvalue

刘兆林、伍刚、丁海燕、张跃

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江苏省淮阴医院放射科 江苏淮安 223300

颈椎病 分型 影像学 价值比较

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(1)
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