MRI与CT对腰椎间盘突出的诊断价值分析

Clinical value of MRI and CT diagnosis of lumbar disc herniation

目的分析腰椎间盘突出MRI与CT的诊断价值。方法回顾性分析2016年5月至2017年9月92例患者腰椎间盘突出患者的临床资料,所有患者均接受CT诊断与MRI诊断,并且将手术结果作为依据,对上述两种诊断措施的准确性进行比较,同时分析腰椎间盘突出的主要表现。结果髓核异位为CT诊断与MRI诊断的主要表现,CT诊断中可发现髓核突出且边缘较为模糊,MRI诊断有病变髓核低信号存在。根据手术结果,CT诊断准确率为89. 13%,MRI诊断准确率为91. 30%,两种诊断措施的准确率比较,差异未见统计学意义(P> 0. 05)。结论在腰椎间盘突出的诊断中使用MRI与CT均具有较高的价值,可根据患者的具体情况将上述两种诊断措施联合使用,以进一步提升疾病诊断的准确率。

Objective To analyze the clinical value of MRI and CT diagnosis of lumbar disc herniation. Methods From May 2016 to September 2017,the clinical data of 92 patients with lumbar disc herniation treated were retrospectively analyzed. All the above patients were diagnosed by CT and MRI. And based on the results of the surgery,the accuracy of the above two diagnostic measures were compared,and the main performance of lumbar disc herniation was analyzed at the same time.Results The ectopic nucleus pulposus was the main manifestation of CT diagnosis and MRI diagnosis.In the CT diagnosis,the prominent nucleus pulposus and the edges were more ambiguous. MRI diagnosed the low signal of the nucleus pulposus. According to the surgical results,the accuracy of CT diagnosis was 89. 13%,and the accuracy of MRI diagnosis was 91. 30%. The accuracy rate of the two diagnostic measures was not significantly different（ P 〉 0. 05）. Conclusions MRI and CT has high value in the diagnosis of lumbar disc herniation. The above two diagnostic measures can be used in conjunction with the patient＇s specific situation to further improve the accuracy of disease diagnosis.