摘要
目的比较CT与MRI在极外型腰椎间盘突出诊断中的应用价值。方法选取该院从2014年1月—2016年6月被诊断为极外型腰椎间盘突出的病患共122例,作为研究对象,所有患者均接受CT和MRI检查,观察两种影像学检查方法的诊出率和椎间盘突出程度的显出情况。以数字法随机分成观察组(61例)和对照组(61例),观察组病患通过MRI确定极外侧型腰椎间盘突出的阳性检出率,对照组病患通过CT确定极外侧型腰椎间盘突出的阳性检出率。对比两组极外侧型腰椎间盘突出的阳性检出率,结果观察组I度检出率为37.70%(23/61),阳性检出率为95.08%(58/61),均显著高于对照组的24.59%(15/61),63.93%(39/61),差异有统计学意义(P<0.05)。观察组漏诊率为1.64%(1/61)显著少于对照组的24.59%(15/61)。差异均有统计学意义(P<0.05)。122例极外型腰椎间盘突出的患者中,CT诊出39例,诊出率为63.93%,MRI诊出58例,诊出率为95.08%,MRI诊出率明显高于CT。结论 MRI可明显减低漏诊率,在极外型腰椎间盘突出诊断中的应用价值较高,值得临床推荐。
Objective To compare the value of CT and MRI in the diagnosis of lumbar disc herniation. Methods In our hospital from January 2014 to June 2016 was diagnosed of extreme lateral lumbar disc herniation disease suffering from a total of 122 Cases,as the object of study,all patients underwent CT and MRI examination and observation of two kinds of image examination method of diagnosis the rate and degree of disc herniation of the show case. Digital method were randomly divided into observation group（61 cases） and control group（61 cases） were observed disease group patients by MRI identified extreme lateral lumbar disc prominent positive rate. Patients in control group by CT to determine extreme lateral lumbar disc prominent positive detection rate. Compared two groups of extreme lateral lumbar disc prominent positive rate. Results The results of the observation group I of the detection rate of 37.70%（23/61）. The positive rate was 95.08%（58/61） were significantly higher than those in the control group of 24.59%（15/61）,63.93%（39/61）.The difference was statistically significant（P〈0.05）. The rate of missed diagnosis in the observation group was 1.64%（1/61）,which was significantly less than 24.59%（15/61） of the control group. The difference was statistically significant（P〈0.05）. In 122 patients with extreme lumbar disc herniation,39 patients diagnosed with CT,the rate of diagnosis was63.93%,58 patients diagnosed with MRI,the rate of diagnosis was 95.08%,the rate of MRI diagnosis was significantly higher than that of CT. Conclusion MRI can obviously reduce the rate of missed diagnosis,and it is worth to be recommended in the diagnosis of lumbar disc herniation.
出处
《系统医学》
2017年第1期85-87,共3页
Systems Medicine
