对比分析颈椎病MRI、CT影像学诊断价值

Comparative Analysis of the Value of MRI and CT Imaging Diagnosis of Cervical Spondylosis

目的比较分析颈椎病MRI和CT影像学诊断价值。方法选取2017年8月—2018年7月我院收治的200例颈椎病患者作为研究对象,所有患者均采用CT和MRI检查,并比较CT和MRI诊断结果。结果 MRI对颈椎曲度异常、骨性椎管狭窄和椎间隙狭窄等诊断检出率高于CT,两组检验方法比较,差异具有统计学意义(P <0.05);MRI对钩突增生和小关节突增生等诊断检出率低于CT,比较差异具有统计学意义(P <0.05);MRI技术在脊髓受压和颈椎间盘突出等影像学显示上优于CT技术,而CT技术在椎小关节和后纵韧带骨化等影像学显示上优于MRI技术。结论 CT和MRI技术在诊断颈椎病方面均有各自优缺点,对两种影像学诊断方式进行综合分析能有效提高颈椎病早期诊断率。

Objective To compare and analyze the diagnostic value of MRI and CT in cervical spondylosis. Methods A total of 200 patients with cervical spondylosis admitted to our hospital from August 2017 to July 2018 were enrolled. All patients were examined by CT and MRI, and the diagnostic results of CT and MRI were compared. Results The diagnostic accuracy of MRI for cervical curvature abnormality, spinal canal stenosis and intervertebral space stenosis was higher than that of CT, and the difference between the two groups was statistically significant (P < 0.05). The diagnostic rate of uncinate process hyperplasia and facet process hyperplasia by MRI was lower than that by CT, and the difference was statistically significant (P < 0.05). MRI is superior to CT in imaging display of spinal cord compression and cervical disc herniation, while CT is superior to MRI in imaging display of facet joint and ossification of posterior longitudinal ligament. Conclusion CT and MRI have their own advantages and disadvantages in the diagnosis of cervical spondylosis. Comprehensive analysis of the two imaging diagnosis methods can effectively improve the early diagnosis rate of cervical spondylosis.