MRI联合CTD检查在腰痛血瘀证中的诊断价值

Diagnostic Value of MRI Combined with CTD Detection in Lumbago of Blood Stasis Syndrome

目的:探讨MRI联合CTD检查在盘源性腰痛患者气滞血瘀证中的诊断价值。方法:回顾性分析我院91例盘源性患者临床资料,分别采用MRI和CTD检查对腰痛气滞血瘀证进行诊断。观察2种检查方法影像学表现,并以相关文献诊断结果为金标准,分析单用MRI、单用CTD、MRI联合CTD在腰痛患者气滞血瘀证中的诊断价值。结果:本组91例患者中共有31例为气滞血瘀证,其中单用MRI、单用CTD、MRI联合CTD检查分别显示有27例、28例和26例气滞血瘀证患者;MRI联合CTD检查在盘源性腰痛气滞血瘀证诊断中准确度、特异度和阳性预测值均明显高于单用MRI和单用CTD。结论:采用MRI联合CTD检查在盘源性腰痛气滞血瘀证诊断中准确度、特异度和阳性预测值均较高,具有较高应用价值。

Objective： To discuss the diagnostic value of MRI combined with CTD detection in discogenic pain of qi stagnation and blood stasis syndrome. Methods：The clinical data of ninety-one cases of patients with discogenic pain were retrospectively analyzed, who were detected by MRI and CTD to diagnosis the lumbago of blood stasis syndrome. The imaging findings of the two kinds of inspection methods were observed, and the diagnostic value of single MRI, single CTD, MRI combined with CTD was analyzed taking the related literature diagnosis results as the golden standard. Results： There were thirty-one cases of qi stagnation and blood stasis syndrome in the ninety-one cases of patients, among which there were respectively twenty-seven, twenty-eight and twenty-six cases of patients with qi stagnation and blood stasis syndrome by single MRI, single CTD and MRI combined with CTD. The accuracy, specificity and positive predictive value of MRI combined with CTD in the diagnosis of discogenic pain of qi stagnation and blood stasis syndrome were obviously higher than those of single MRI and single CTD. Conclusion： The accuracy, specificity and positive predictive value of MRI combined with CTD in the diagnosis of discogenic pain of qi stagnation and blood stasis syndrome are higher, with higher application value.