X线平片、CT、MRI诊断颈椎病的临床应用价值研究

Clinical Application Value of X-ray Plain Film,CT and MRI in the Diagnosis of Cervical Spondylosis

目的探讨X线平片、CT、MRI三种方法在颈椎病诊断中的应用价值。方法选取我院2013年4月~2015年4月收治的颈椎病患者共80例,分别采用X线平片、CT、MRI进行检查,并对诊断结果进行比较。结果 MRI检查骨性椎管狭窄、椎间隙狭窄的检出率均优于X线平片及CT检查（P〈0.05）,与CT检查相比,MRI检查颈椎曲度异常的检出率较高（P〈0.05）;与X线平片相比,MRI检查椎体后缘骨赘、小关节突增生的检出率较高（P〈0.05）;与X线平片相比,CT检查钩突增生的检出率较高（P〈0.05）。结论 MRI和CT检查颈椎病的检出率优于X线平片,在X线平片检查的基础上,结合MRI或CT检查可促使颈椎病确诊率的提高,应根据疾病的具体情况选择诊断方法。

Objective To explore the application value of X-ray plain film, CT and MRI in the diagnosis of cervical spondylosis. Methods 80 cases of cervical spondylosis were examined by X-ray plain film, CT and MRI in our hospital. Results CT hyperplasia of uncinate process of the detection rate is higher than X-ray plain film（P〈0.05）, MRI examination of osteophyma, intervertebral space stenosis, small joint process hyperplasia, bony spinal stenosis, hyperplasia of uncinate process of the detection rate is higher than X-ray plain film（P〈0.05）, MRI examination of the bony spinal canal stenosis, abnormal curvature of cervical vertebra, intervertebral space stenosis detection rate is higher than CT（P〈0.05）. Conclusion X-ray plain film, CT and MRI diagnosis of cervical spondylosis has high application value, should be combined with the specific circumstances of the three methods of cervical spondylosis into the examination, so as to effectively improve the accuracy of the diagnosis of the disease.