颈椎病CT检查及临床诊断作用探究

Study on CT Examination and Clinical Diagnosis of Cervical Spondylosis

目的:研究分析颈椎病CT检查及临床诊断的作用。方法:研究对象为我院2016年7月至2017年4月间收治的经影像学检查确诊的颈椎病患者140例,将患者根据检查方法不同分为对照组和观察组,每组患者70例,观察组患者采用CT机对头颈部进行扫描,对照组患者采用X线检查,比较观察两组应用不同方法诊断的颈椎病患者颈椎曲度异常、颈椎小关节骨质增生、颈椎间隙狭窄、颈椎钩突增生、颈椎骨性椎管狭窄、黄韧带肥厚、颈椎椎体后缘骨赘形成、颈椎椎间孔狭窄结果准确率。结果:与采用X线检查的对照组结果比较,应用CT检查的观察组患者诊断颈椎曲度异常、黄韧带肥厚、颈椎间隙狭窄的准确率更高,组间比较数据差异具有统计学意义(P<0.05);与采用CT扫描检查的观察组比较,应用X线检查的对照组患者诊断颈椎小关节骨质增生、颈椎钩突增生、颈椎骨性椎管狭窄、颈椎椎间孔狭窄、颈椎椎体后缘骨赘形成的准确率较高,组间比较数据差异具有统计学意义(P<0.05)。结论:应用CT检查诊断颈椎病临床效果较好,可根据患者情况应用CT进行检查确诊颈椎病患者。

Objective: To study the role of CT examination and clinical diagnosis in cervical spondylosis. Methods: 140 patients with cervical spondylosis diagnosed by imaging examination were studied in our hospital from July 2016 to April 2017. The patients were divided into control group and observation group according to different examination methods, 70 cases in each group. The patients in observation group were examined by CT. The patients in control group were examined by X-ray. The accuracy of cervical curvature abnormality, cervical facet joint osteoporosis, cervical intervertebral space stenosis, cervical kyphosis hyperplasia, cervical osseous spinal canal stenosis, ligamentum flavum hypertrophy, cervical vertebral posterior margin osteophyte formation and cervical intervertebral foramen stenosis were compared between the two groups. Results: Compared with the control group with X-ray examination, the accuracy of diagnosing cervical curvature abnormality, ligamentum flavum hypertrophy and cervical intervertebral stenosis was higher in the observation group with CT examination, and the difference between the two groups was statistically significant(P<0.05). The accuracy rate of diagnosis of cervical facet joint osteoporosis, cervical uncinate process hyperplasia, cervical vertebral canal stenosis, cervical intervertebral foramen stenosis, cervical vertebral posterior margin osteophyte formation was higher, and the difference between groups was statistically significant (P<0.05). Conclusion: The clinical effect of CT examination in the diagnosis of cervical spondylosis is better, and the patients with cervical spondylosis can be diagnosed by CT examination according to the patient's condition.