CT、MRI与X线平片对颈椎病诊断作用的比较探讨

A Comparative Study of CT, MRI and X-ray Plain Film in the Diagnosis of Cervical Spondylosis

目的探讨颈椎病诊断时应用CT、MRI与X线平片的价值比较。方法2019年1月—2020年2月,从本院收治的颈椎病患者60例开展本次研究,将60例患者分为三组,每组各20例,分别应用CT、MRI、X线平片检查诊断,比较CT、MRI、X线平片诊断颈椎病检出率、符合率、灵敏度。结果经CT、MRI、X线平片检查,其中MRI检出率、诊断符合率均明显高于CT、X线平片,差异有统计学意义(P<0.05);其中颈椎曲度、椎间隙狭窄诊断符合率X线平片高于CT,差异有统计学意义(P<0.05);钩突增生、骨性椎管狭窄诊断符合率CT高于X线平片差异有统计学意义(P<0.05)。结论CT、MRI、X线平片在颈椎病诊断中,均具有较高的诊断价值,特别是MRI诊断,效果显者,有助于减少误诊、漏诊,可为临床诊治提供一定的参考依据。

Objective To investigate the value of CT,MRI and X-ray plain film in the diagnosis of cervical spondylosis.Methods From January 2019 to February 2020,this study was carried out from 60 patients with cervical spondylosis admitted to this hospital.The 60 patients were divided into three groups,with 20 cases in each group.CT,MRI,and X-ray were applied.Film diagnosis,compare the detection rate,coincidence rate,and sensitivity of cervical spondylosis with CT,MRI,and X-ray plain films.Results After the comparison of CT,MRI and X-ray plain films,the detection rate and diagnostic coincidence rate of MRI were significantly higher than those of CT and X-ray plain films.The diagnostic coincidence rate of gap stenosis was higher than that of CT on plain radiographs,(P<0.05);the diagnostic coincidence rate of uncinate hyperplasia and bony spinal stenosis was higher on CT than plain radiographs,and the difference was statistically significant(P<0.05).Conclusion CT,MRI,and X-ray plain films have high diagnostic value in the diagnosis of cervical spondylosis,especially those with MRI diagnosis,which can help reduce misdiagnosis and missed diagnosis,and can provide a certain reference basis for clinical diagnosis and treatment.