MRI在骶骨骨折合并骶神经损伤中的诊断与临床应用价值

The value of MRI in diagnosis and clinical application in sacrum fracture associated with sacral nerve injury

目的分析MRI在骶骨骨折合并骶神经损伤中的诊断与临床应用价值。方法选取2016年5月~2017年6月间本院骶骨骨折合并骶神经损伤患者200例,选择随机的方式进行分组,对照组采取CT进行检测,观察组实施MRI检测,每组100例,比较两组临床检出率及漏诊率、误诊率。结果观察组骶骨骨折合并骶神经损伤患者检出率为95.00%,显著高于对照组的75.00%(P<0.05)。观察组骶骨骨折合并骶神经损伤患者漏诊率为2.00%(2例)、误诊率为3.00%(3例);对照组骶骨骨折合并骶神经损伤患者漏诊率为12.00%(12例)、误诊率为13.00%(13例),两组间比较差异有统计学意义(P<0.05)。结论将MRI应用于骶骨骨折合并骶神经损伤中具有较高的诊断价值,能够为临床治疗提供可靠的依据,同时具有较多优势,值得研究。

Objective To analyze the diagnostic value and clinical value of MRI in the sacral fracture with sacral nerve injury. Methods 200 patients with sacral fracture and sacral nerve injury in our hospital from May 2016 to June 2017were selected. The patients were randomly divided into two groups, the control group examining with CT, the observation group implementing MRI test,with 100 patients in each group, the clinical detection rate of the two groups and rate of missed diagnosis, misdiagnosis rate were compared. Results The detection rate of patients with sacral frac ture with sacral nerve injury was 95.00%, which was significantly higher than 75.00% in control group （P〈0.05）. The rate of missed diagnosis was 2.00% （2 cases） and misdiagnosis rate was 3.00%（3 cases） in the observation group, the rate of missed diagnosis was 12.00%（12 cases） and misdiagnosis rate was 13.00%（13 cases） in the control group,the differences were statistically significant between the two groups（P〈0.05）. Conclusion It is valuable to apply MRI in the diagnosis of sacral fracture with sacral nerve injury and provide a reliable basis for clinical treatment. Meanwhile, it has many advantages and is worth studying.