腰椎间盘突出MRI与CT诊断的应用价值比较

Comparison of Application Value of MRI and CT in Diagnosis of Lumbar Intervertebral Disc Herniation

目的对腰椎间盘突出采用MRI与CT诊断的临床应用价值进行比较。方法选取2016年3月—2018年3月间在该院收治的106例腰椎间盘患者作为研究对象,随机分为观察组和对照组,每组均分为53例,其中观察组采取MRI检查,对照组采取高CT检查,观察并比较两组患者经检查后的临床诊断情况以及临床应用价值。结果观察组MRI临床诊断准确率98.11%,明显优于对照组CT的临床诊断准确率90.56%,比较差异有统计学意义(χ~2=4.215,P<0.05);腰椎间盘突出相关征象(腰部侧弯、神经根受压、脊髓变形、椎间盘膨出)MRI检出率19例(95.0%)、MRI检出率9例(90.00%)、MRI检出率7例(87.5%)、MRI检出率14例(93.3%),明显由于对照组检出率,两组比较,差异有统计学意义(χ~2=4.048,7.943,6.904,6.941,P<0.05)。结论采用MRI诊断腰椎间盘突出的临床诊断准确率、检出率明显高于CT诊断,效果显著,值得临床推广。

Objective To compare the application value of MRI and CT in diagnosis of lumbar intervertebral disc herniation. Methods 106 cases of patients with lumbar intervertebral disc herniation admitted and treated in our hospital from March 2016 to March 2018 were selected and randomly divided into two groups with 53 cases in each, the observation group used the MRI examination, while the control group used the high CT examination, and the clinical diagnosis and clinical application value were compared between the two groups. Results The MRI clinical diagnosis accuracy rate in the observation group was obviously better than that in the control group（98.11% vs 90.56%）, and the difference was obvious（χ~2=4.215, P0.05）; and the MRI test rates of lumbar intervertebral disc herniation related signs（lumbar lateral curvature, nerve root compression, spinal cord deformation, and disc herniation） were respectively 19 case（95.0%）,9 case（90.0%）,7 case（87.5%）, 14 case（93.3%）, which were obviously better than those in the control group, and the differences were obvious（χ~2=4.048, 7.943, 6.904, 6.941, P0.05）. Conclusion The accuracy rate and test rate of MRI in diagnosis of lumbar intervertebral disc herniation are obviously higher than those of CT diagnosis, and the effect is obvious, and it is worth clinical promotion.