多层螺旋CT联合X线在青年人腰椎间盘突出症诊断中的价值

Value of Multi-slice Spiral CT Combined with X-ray in the Diagnosis of Lumbar Disc Herniation in Young People

目的研究多层螺旋CT(MSCT)联合X线在青年人腰椎间盘突出症(LDH)诊断中的价值。方法回顾性分析本院2017年11月至2019年11月诊治的100例LDH患者临床资料,所有患者均进行X线以及MSCT检查。分析其检查结果,以手术结果为“金标准”,比较X线、MSCT以及两者联合对LDH的诊断效能。结果联合诊断阳性率明显高于X线或MSCT单一诊断,差异有统计学意义(P<0.05);MSCT检查在疾病分型诊断中对于中央型和旁侧型符合率最高,分别为92.16%、91.43%,其次是极外侧型83.33%、椎间孔型75.00%,总体诊断符合率为90.00%;在突出部位诊断中,两者联合诊断各部位以及总体符合率均明显高于X线或者CT单一诊断(P<0.05)。结论MSCT联合X线应用于青年人LDH的诊断有利于疾病分型以及具体突出部位的准确诊断,可整体提高LDH诊断准确性。

Objective To study the value of multi-slice spiral CT(MSCT)combined with X-ray in diagnosing lumbar disc herniation(LDH)in young people.Methods The clinical data of 100 patients with LDH diagnosed and treated in the hospital between November 2017 and November 2019 were retrospectively analyzed.All patients completed X-ray and MSCT examinations,and the results were analyzed with surgical results as the golden standard,diagnostic efficiencies of X-ray.MSCT and the combination of the two for LDHwere compared.Results The positive rate of combined diagnosis was significantly higher than that of a single X-ray or MSCT diagnosis(P<0.05).For diagnosis of the disease type,the coincidence rates of MSCT in the diagnosis of central and lateral types were the highest(92.16%and 91.43%),followed by extremely lateral type(83.33%)and intervertebral foramen type(75.00%).The overall diagnostic coincidence rate was 90.00%.In the diagnosis of the site of LDH,the coincidence rates of the combined diagnosis of each part and the overall coincidence rate were significantly higher than those of a single X-ray or CT diagnosis(P<0.05).Conclusion The application of MSCT combined with X-ray in the diagnosis of LDH in young people is conducive to the accurate diagnosis of the type and site of the disease,which also can improve the overall diagnostic accuracy of LDH.