探讨不同的影像学方法诊断颈椎病的临床价值

Clinical value of different imageology examinations for the diagnosis of cervical spondylosis

目的对比分析不同的影像学检查方法对诊断颈椎病的临床价值。方法选择本院2011年1月至2011年12月患有颈椎病的患者80例,分别对患者行X线平片(X-Ray)、电子计算机X射线断层扫描(CT)、磁共振成像(MRI)、CT血管造影(CTA)和磁共振血管造影(MRA),结合临床表现症状,进行比较影像学分析。结果检查结果显示,这5种方法的诊断灵敏度都在90%以上,同时不同类型的颈椎病患者的影像学检查图像各有不同,X线平片检查适用于神经根型的颈椎病检查,CT和MRI检查都适用于脊髓型的颈椎病检查,CTA和MRA检查更适用于椎动脉型的颈椎病检查。另外还发现针对食道压迫型的颈椎病检查可以采用X线平片检查结合食道造影。结论针对不同类型的颈椎病患者采用最佳的影像学检查方案有利于提高诊断的正确率,缩短临床诊断时间,有利于临床医生及时治疗。

Objective To explore the clinical value of imageology examinations for the diagnosis of cervical spondylosis（CS） .Methods Clinical data of 80 patients with CS ,receiving examination of X-ray ,computed tomo-graphy（CT ） ,magnetic resonance imaging （MRI） ,CT angiography （CTA ） and magnetic resonance angiography （MRA） in 2011 ,were analyzed .Results The diagnostic values of these five examination were all more than 90% . The images of patients with different types of CS were different .X-ray was better for the examination of nerve root type of CS ,CT and MRI were better for the examination of myelopathic type of CS ,and CTA and MRA were better for the examination of vertebral artery type of CS .Combined examination of X-ray and imaging of esophagus was bet-ter for the examination of esophageal compression type of CS .Conclusion Different imageology examination should applied in patients with different types of CS to improve the accuracy of diagnosis and shorten the diagnostic time ,so as to be beneficial for the timely therapy .