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脊柱骨折的X线、CT、MR影像诊断学对比分析 被引量:4

X-ray,CT,MR imaging diagnosis in spinal fracture:A comparative analysis
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摘要 目的对比分析脊柱骨折检查中的X线、CT、MR影像诊断学的检查结果和准确性。方法选取2018年3月~2019年3月我院收治的120例脊柱骨折患者作为本研究观察的对象,对所有患者的病历资料和X线、CT、MR影像诊断的检查结果进行回顾性统计,分析X线、CT、MR检查的影像诊断学的诊断优势和准确性。结果X线、CT、MR检查的三种影像诊断方式所反映的患者脊柱自然形态和骨折情况有所不同,且CT、MR检查诊断更加全面准确,MR检查对于椎体附件骨折、小关节紊乱脱位检查虽然不够明显,但在椎管继发狭窄、脊髓损伤、韧带及及周围软组织损伤诊断更具优势,差异有统计学意义(P<0.05)。结论X线、CT、MR检查在脊柱骨折中都有各自的诊断价值,因此三种检查方法联合应用,可以提高诊断的准确性,对临床治疗方案的选择制定有重要意义。 Objective To compare and analyze the results and accuracy of X-ray,CT,MR imaging diagnosis in spinal fracture examination.Methods 120 patients with spinal fractures treated in our hospital from March 2018 to March 2019 were selected as the study subjects.The medical records of all patients and the results of X-ray,CT,and MR imaging diagnosis were retrospectively statistically analyzed,and the diagnostic advantages and accuracy of X-ray,CT,MR imaging diagnostics were compared.Results The natural form of spine and fractures of the patients were distinctly reported by X-ray,CT and MR examinations;CT and MR examinations were more comprehensive and accurate;The MR diagnosis was more advantageous in secondary spinal canal stenosis,spinal cord injury,ligament and surrounding soft tissue damage,although it was not obvious enough in fracture and facet joint dislocation test,and the differences were statistically significant(P<0.05).Conclusion X-ray,CT,and MR examinations have their own diagnostic value in spinal fractures.Therefore,the combined application of the three examination methods can improve the accuracy of diagnosis and is of great significance in the choice of clinical treatment options.
作者 吴明穗 WU Mingsui(Quanzhou Orthopedic-Traumatological Hospital,Fujian,Quanzhou 362000,China)
出处 《中国医药科学》 2020年第11期149-152,共4页 China Medicine And Pharmacy
关键词 脊柱骨折 X线 CT MR 影像诊断学 准确性 Spine fracture X-ray CT MR Diagnostic imaging Accuracy
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