脊柱转移瘤的MRI与CT诊断比较

Comparison of MRI and CT Diagnosis of Spinal Metastases

目的对脊柱转移瘤的MRI与CT的诊断比较进行探究。方法方便选取2016年2月—2018年3月间在该院收治的92例脊柱转移瘤的患者作为研究对象,先后进行MRI和CT检查,其中观察组采取MRI磁共振检查,对照组采取CT扫描检查。观察两种检查方法的准确率以及临床诊断应用价值。结果观察组MRI确诊84例,诊断准确率为91.3%,明显优于对照组CT的70.65%,差异有统计学意义(χ~2=4.231,P<0.05)。观察组的总检出率为88例(95.65%),明显优于对照组总检出率58例(63.04%),差异有统计学意义(χ~2=7.356,P<0.05)。结论采取影像检查诊断早期脊柱转移瘤的准确率更高,可有效检出不同病变类型,效果显著,值得临床推广。

Objective To investigate the diagnosis of MRI and CT in spinal metastases. Methods 92 patients with spinal metastases admitted to the hospital from FebruatT 2016 to March 2018 were convenient randomly, MRI and CT examina- tions were performed successively. The observation group was treated with MRI and the control group was taken CT scan check. Observe the accuracy of the two methods of examination and the value of clinical diagnostic applications. Results 84 patients were diagnosed by MRI in the observation group. The diagnostic accuracy was 91.3%, which was significantly better than that of the control group （70.65%）. The difference was significant （χ^2=4.231, P〈0.05）. The total detection rate of the observation group was 88 case （95.65%）, which was significantly better than the total detection rate of the control group 58 case（63.04%）, and the difference was significant （χ^2=7.356, P〈0.05）. Conclusion The accuracy of imaging examination for early spinal metastases is higher, and it can effectively detect different types of lesions. The effect is significant and worthy of clinical promotion.