X线片与螺旋CT对腰椎退变的诊断价值研究

Study on Diagnostic value of X-ray and Spiral CT in Lumbar Vertebrae de-generation

目的探讨腰椎退变采取X线片与螺旋CT的诊断价值。方法整群选取于2013年6月—2014年7月来院诊断的96例腰椎退变患者作为研究对象,所有患者均行X线片及螺旋CT诊断,比较两种诊断方法的影像学表现。结果在诊断腰椎骨质增生及椎间小关节退变方面,X线片的检出率优于CT,差异均有统计学意义;在许莫氏结节方面,CT的检出率(6.25%)优于X线片的(1.04%),差异有统计学意义(χ2=3.8643,P<0.05)。结论 CT能直观显示X线片不能显示的某些退变征现象,X线片与螺旋CT诊断结合,对腰椎退变的诊断和治疗有重要作用。

Objective To explore the value of X-ray and spiral CT in the diagnosis of Lumbar Vertebrae degeneration. Methods96 patients were taken as the research objects which suffered from the osteoarthritis of Lumbar Vertebrae and accepted treatments in our hospital from July, 2013 to July, 2014. these patients were treated by diagnostic X-ray and spiral CT, then, imaging manifestations of two diagnostic methods were compared. Results In the showing signs of hyperostosis and degeneration of intervertebral small joints and intervertebral space narrowing, X-ray was superior to CT and the differences was statistical significance（P〈0.05）.In addition, in the showing Schmor＇s nodes, the detection rate of CT（6.25%） is superior to X-ray（1.04%） and the differences was statistical significance（χ^2=3.8643,P〈0.05）. Conclusion CT can directly display the phenomenon of some degeneration, X-ray cannot. In combination with X-ray and spiral CT diagnosis, it is important for diagnosis and therapy of degenerative lumbar spine.