CT与MRI在腰椎间盘退行性病变诊断中的应用

The Application of CT and MRI in the Diagnosis of Lumbar Disc Degeneration

目的探讨CT与MRI在腰椎间盘退行性病变诊断中的应用价值。方法选取2018年7月至2019年12月在医院接受诊治的60例腰椎间盘退行性病变患者,均行CT与MRI诊断,比较两种方法的诊断效果。结果MRI诊断对腰椎间盘退行性病变的检出率为95.71%,高于CT诊断的84.29%,差异有统计学意义(P<0.05)。MRI诊断中、重度硬膜囊分界清晰的检出率高于CT诊断,椎间盘积气及髓核、纤维环钙化的检出率低于CT诊断,差异均有统计学意义(P<0.05)。结论CT与MRI诊断腰椎间盘退行性病变各有优势,医师应根据患者的具体情况选择合适的诊断方法。

Objective To investigate the value of CT and MRI in the diagnosis of lumbar disc degeneration.Methods From July 2018 to December 2019,60 patients with degenerative lumbar disc disease were selected for CT and MRI diagnosis,and the diagnostic effect of the two methods was compared.Results The detection rate of MRI for degenerative disc disease(95.71%)was higher than that of CT(84.29%),the difference was statistically significant(P<0.05).Patients with moderate to severe disc bulging diagnosed by MRI the demarcation of the dura sac were clearer,and the detection rate of CT diagnosis of intervertebral disc calcification and intervertebral disc gas were higher.Conclusions In the clinical diagnosis of lumbar disc degenerative disease,CT diagnosis and MRI diagnosis have their own advantages.The diagnosis personnel should choose the appropriate diagnosis method according to the specific situation of the patients.